<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.09.52.04" title_num="10" subtitle_num="09" chapter_num="52" heading="Covered Services.">
  <paragraph num="A.">
    <text>The Program shall reimburse for the services in §§B—D of this regulation when the services have been documented, pursuant to the requirements of this chapter, as medically necessary.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Initial IEP.</text>
    <paragraph num="(1)">
      <text>Definition. “Unit of service” means:</text>
      <paragraph num="(a)">
        <text>A completed initial IEP, signed by all members of the IEP team; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>At least one contact by the participant’s service coordinator or IEP team in person or by telephone with the participant or the participant’s parent, on the participant’s behalf relating to development of the IEP.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The covered services include convening and conducting an IEP team to:</text>
      <paragraph num="(a)">
        <text>Perform a multidisciplinary assessment of the participant; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Develop an initial IEP.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Ongoing Service Coordination.</text>
    <paragraph num="(1)">
      <text>Ongoing service coordination is provided by a participant's service coordinator.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Definition. For purposes of this section, “unit of service” means:</text>
      <paragraph num="(a)">
        <text>At least one contact per month by the service coordinator in person, by telephone, or by written progress notes or log with the participant or the participant's parent, on the participant's behalf relating to the child's ongoing service coordination; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The provision of all other necessary services covered under these regulations.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>As necessary, the Program shall include as covered services the following:</text>
      <paragraph num="(a)">
        <text>Acting as a central point of contact relating to IEP services for a participant;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Maintaining contact with:</text>
        <paragraph num="(i)">
          <text>The child's direct service providers, as applicable, which may include, but not be limited to, the child's Maryland Medicaid Managed Care Program provider or the Rare and Expensive case management provider; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A participant and the participant's parent through home visits, office visits, written notes, school visits, telephone calls, and follow-up service as necessary;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>Implementing the IEP by referring the participant to direct service providers, assisting the participant in gaining access to services specified in the IEP, and providing linkage to agreed-upon direct service providers of services;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Discussing with direct service providers the services needed and available for the participant, assessing the quality and quantity of services being provided, following up to identify any obstacles to a participant’s utilization of services, coordinating the service delivery, and performing ongoing monitoring to determine whether the services are being delivered in an integrated fashion as recommended in the IEP and meet the participant’s current needs;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Providing a participant and the participant’s parent with information and direction that will assist them in successfully accessing and using the services recommended in the IEP;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Informing a participant’s parent of the participant’s and the family’s rights and responsibilities in regard to specific programs and resources recommended in the IEP;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Conducting, with a participant’s parent at a meeting or by other means acceptable to the parent and the service coordinator, a periodic review of the participant’s IEP every 6 months, or more frequently if warranted or the parent requests a review; and</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Reviewing at least annually at a meeting or by other means acceptable to the participant’s parent and others involved in the review process:</text>
        <paragraph num="(i)">
          <text>The degree of a participant’s progress toward achieving the goals established in the IEP; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Whether the goals or recommended services need to be revised.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Administrative, supervisory, and monitoring services associated with the ongoing service coordination, including coordinating with the child's primary care provider, are included as part of the service.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>IEP Review.</text>
    <paragraph num="(1)">
      <text>Definition. “Unit of service” means:</text>
      <paragraph num="(a)">
        <text>A completed initial 60-day, interim, or annual IEP review as evidenced by a signed revised IEP or, if a revised IEP was not done, IEP team records documenting a meeting in which there is participation by at least two different disciplines; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>At least one contact by the service coordinator or IEP team in person, by telephone, or by written progress notes or log with the participant or the participant's parent, on the participant's behalf.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The covered services include convening and conducting an IEP team to:</text>
      <paragraph num="(a)">
        <text>Perform a multidisciplinary reassessment of the participant's status and service needs; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Review and revise, as necessary, the participant’s IEP.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>