Chapter 66. Assistance in Community Integration Services

“Assistance in Community Integration Services (ACIS)” means the ACIS program, a health related social needs benefit for qualified individuals, which is implemented in accordance with the HealthChoice Section 1115 Waiver approved by the Centers for Medicare and Medicaid Services.

“Compliance activities” means tasks undertaken to ensure that ACIS is delivered in accordance with the HealthChoice Section 1115 Waiver approved by the Centers for Medicare and Medicaid Services.

“Continuum of Care Program” means the regional or local planning body that coordinates housing and services funding for families and individuals experiencing homelessness.

“Homelessness” has the meaning stated in 24 CFR §578.3.

“Lead entity” means a local health department or local governmental agency, which:

“Managed care organization (MCO)” has the meaning stated in Health-General Article, §15-101, Annotated Code of Maryland.

“Participant” has the meaning stated in COMAR 10.09.36.01.

“Program” means the Maryland Medical Assistance Program.

Have been awarded participant spaces for ACIS by the Program; and

Be a member of its local Continuum of Care Program.

Repeated emergency department visits;

Repeated hospital admissions in the past year; or

Two or more chronic conditions as defined in §1945(h)(2) of the Social Security Act; and

Is homeless, chronically homeless, or at risk of homelessness as defined in 24 CFR §578.3; or

Is at risk of institutional placement.

Compliance activities; and

Housing and tenancy-based case management services when three or more services, as specified in §B of this regulation, are delivered per month per participant.

Community integration assessments to identify the participant’s:

The development of a person-centered community integration plan with enumerated measurable goals inclusive of review and modification of the plan when necessary;

Participation in meetings related to:

Assistance in connecting individuals with social services defined in the integration plan such as:

Assistance in communication with property managers or landlord for accommodation needs; and

Connecting the participant to training and resource support related to being housed and household management.

Services provided to or for the primary benefit of individuals other than the participant;

Services rendered but not appropriately documented; and

Room and board.

$725 per member per month for ACIS housing and tenancy-based case management; and

$100 per member per year for compliance activities.