<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".18-1" citation="COMAR 10.09.54.18-1" title_num="10" subtitle_num="09" chapter_num="54" heading="Covered Services — Respite Care.">
  <text>Respite care services shall:</text>
  <paragraph num="A.">
    <text>Be provided to participants who, due to physical or cognitive impairments, are unable to care for themselves;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Be furnished on a short-term basis because of the absence or need for relief of an individual normally providing the care;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Provide a period of rest and renewal, which contributes to maintaining the participant at home in the community;</text>
  </paragraph>
  <paragraph num="D.">
    <text>Be provided at planned intervals, in a time of crisis, or as needed;</text>
  </paragraph>
  <paragraph num="E.">
    <text>Include the participant's room and board;</text>
  </paragraph>
  <paragraph num="F.">
    <text>Include overnight care; and</text>
  </paragraph>
  <paragraph num="G.">
    <text>Including the following services:</text>
    <paragraph num="(1)">
      <text>Supervising participants with cognitive impairments to ensure the individual’s health and safety;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Assisting participants with functional impairments to perform activities of daily living or instrumental activities of daily living; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Delegated nursing functions, such as medication assistance or administration by appropriately trained, certified, and supervised staff.</text>
    </paragraph>
  </paragraph>
</regulation>