<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".19" citation="COMAR 10.09.54.19" title_num="10" subtitle_num="09" chapter_num="54" heading="Covered Services — Case Management Services.">
  <paragraph num="A.">
    <text>Case management services shall be targeted to address the individualized needs of the participant and be sensitive to the educational background, culture, and general environment of the participant.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Case management services include time spent by a qualified provider conducting any of the following activities:</text>
    <paragraph num="(1)">
      <text>Assisting with the initial or annual waiver eligibility process;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Assisting with the application and supporting the individual in maintaining all public and private benefits, resources, and entitlements;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Conducting an assessment of needs, and developing a person-centered plan of service, to include all services needed to live safely in the community;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Assisting the participant with referrals, access, and coordination of services, both Medicaid and non-Medicaid, to address the participant’s needs including, but not limited to:</text>
      <paragraph num="(a)">
        <text>Behavioral health;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Educational services;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Disposable medical supplies and durable medical equipment;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Housing;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Medical services; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Social services;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Monitoring the provision of services to determine if services are received in accordance with the plan of services;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Facilitating referrals to other programs if the individual is denied waiver services; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Using information technology systems developed by the Department.</text>
    </paragraph>
  </paragraph>
</regulation>