<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".13" citation="COMAR 10.09.54.13" title_num="10" subtitle_num="09" chapter_num="54" heading="Covered Services — Assisted Living Services.">
  <paragraph num="A.">
    <text>Assisted living services shall include the provision of:</text>
    <paragraph num="(1)">
      <text>A structured, supportive environment in a home-like setting;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Personal assistance and chore services including:</text>
      <paragraph num="(a)">
        <text>Assisting the participant, as necessary, with performing activities of daily living and instrumental activities of daily living, including cuing the participant to perform these activities;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Routine housekeeping, laundry, household care, and chore services needed to maintain the facility as a clean, sanitary, and safe environment; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Menu planning, food shopping, and meal preparation and serving;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Basic personal hygiene supplies, including but not limited to:</text>
      <paragraph num="(a)">
        <text>Soap;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Bathroom tissue;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Paper towels;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Toothpaste;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Toothbrush; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Shampoo;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>24-hour supervision of participants to assure health and safety;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Assistance with medication administration, in accordance with COMAR 10.27.11 and COMAR 10.07.14;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Recreational and social activities of a nontherapeutic and nonhabilitative nature which are confined to the assisted living facility and are for the purpose of socialization;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Reminding the participant of medical appointments;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Assistance with transportation arrangements to needed services;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Conferring with the participant's case manager about the participant's status and service needs, as necessary;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Assisting the participant in accessing needed medical or mental health services in emergency situations; and</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Other services specified for assisted living programs in COMAR 10.07.14.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The living environment and service provision shall reflect participants' individualized needs and preferences.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Assisted living services reimbursed under this chapter may not include room and board.</text>
  </paragraph>
</regulation>