<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".16" citation="COMAR 10.09.56.16" title_num="10" subtitle_num="09" chapter_num="56" heading="Covered Services — Respite Care.">
  <paragraph num="A.">
    <text>Respite care:</text>
    <paragraph num="(1)">
      <text>Shall consist of one-on-one interventions with the participant;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Shall be rendered by a qualified:</text>
      <paragraph num="(a)">
        <text>Professional who meets the qualifications in Regulation .07B of this chapter; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Direct care worker who is supervised by a qualified professional;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Shall include assistance with activities of daily living provided to participants who are unable to care for themselves;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Shall be furnished on a short-term basis because of the absence of or need for relief of the participant's family that normally provides the care;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Shall be provided in the participant's home or place of residence, or community setting, not including a residential habilitation facility;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>May be provided in a youth camp certified by the Maryland Department of Health under COMAR 10.16.06; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>May be provided in a site licensed to accommodate individuals for respite care by the Developmental Disabilities Administration.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Respite care may not:</text>
    <paragraph num="(1)">
      <text>Be available for participants receiving residential habilitation services;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Include the direct care worker's or the participant's room and board; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Be rendered by a participant's parent.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>For dates of service before July 1, 2023, a unit of service is a 30-minute increment of service rendered to a participant by a qualified provider in the participant’s home or a community setting.</text>
  </paragraph>
  <paragraph num="D.">
    <text>For dates of service on or after July 1, 2023, a unit of service is a 15-minute increment of service rendered to a participant by a qualified provider in the participant’s home or a community setting.</text>
  </paragraph>
</regulation>