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<regulation prefix="Regulation" num=".01" citation="COMAR 10.09.78.01" title_num="10" subtitle_num="09" chapter_num="78" heading="Definitions.">
  <paragraph num="A.">
    <text>The following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Department” means the Maryland Department of Health, the single State agency designated to administer the Maryland Medical Assistance Program under Title XIX of the Social Security Act, 42 U.S.C. §§1396 et seq.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Evidence-based home visiting model” means a voluntary early childhood strategy program that includes focused, individualized, and culturally competent services for expectant parents, young children, and their families designed to enhance parenting and promote the growth and development of young children.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Home” means the program participant’s place of service in a community setting defined by the evidence-based home visiting models.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Home visiting program” means the organization or entity accredited by an evidence-based home visiting model to provide home visiting services under that model.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Home visiting services” means services provided during the prenatal and postpartum periods in the program participant’s home by the home visiting program, including but not limited to:</text>
      <paragraph num="(a)">
        <text>Pregnancy education;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Child development education;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Diet and nutritional education;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Stress management;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Sexually transmitted diseases (STD) prevention education;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Tobacco use screening and cessation education;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Alcohol and other substance misuse screening and counseling;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Depression screening;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Postpartum depression education;</text>
      </paragraph>
      <paragraph num="(j)">
        <text>Domestic and intimate partner violence screening and education;</text>
      </paragraph>
      <paragraph num="(k)">
        <text>Breastfeeding support and education;</text>
      </paragraph>
      <paragraph num="(l)">
        <text>Guidance and education with regard to well woman visits to obtain recommended preventive services;</text>
      </paragraph>
      <paragraph num="(m)">
        <text>Maternal-infant safety assessment and education;</text>
      </paragraph>
      <paragraph num="(n)">
        <text>Counseling regarding postpartum recovery, family planning, and needs of a newborn;</text>
      </paragraph>
      <paragraph num="(o)">
        <text>Assistance for the family in establishing a primary source of care and a primary care provider;</text>
      </paragraph>
      <paragraph num="(p)">
        <text>Parenting skills, parent-child relationship building, and confidence building;</text>
      </paragraph>
      <paragraph num="(q)">
        <text>Child developmental screening at major developmental milestones from birth to two years old;</text>
      </paragraph>
      <paragraph num="(r)">
        <text>Facilitation of access to community or other resources that can improve birth-related outcomes such as:</text>
        <paragraph num="(i)">
          <text>Transportation;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Housing;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Alcohol, tobacco, and drug cessation; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>WIC, SNAP, and intimate partner violence resources;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(s)">
        <text>Monitoring for high blood pressure or other complications of pregnancy; and</text>
      </paragraph>
      <paragraph num="(t)">
        <text>Medical assessment of the postpartum mother and infant.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>“Medically necessary” means that the service or benefit is:</text>
      <paragraph num="(a)">
        <text>Directly related to diagnostic, preventive, curative, palliative, rehabilitative, or ameliorative treatment of an illness, injury, disability, or health condition;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Consistent with current accepted standards of good medical practice;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The most cost-efficient service that can be provided without sacrificing effectiveness or access to care; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Not primarily for the convenience of the consumer, family, or provider.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>“Postpartum period” means the period that begins immediately after childbirth up to a period of time following childbirth as defined by the evidence-based home visiting model.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Prenatal period” means the developmental period between conception and birth.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Program” means the Maryland Medical Assistance Program.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Program participant” means one of the following individuals enrolled in the evidence-based home visiting model:</text>
      <paragraph num="(a)">
        <text>Birthing parent;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Infant;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Child up to the age permitted under the evidence-based home visiting model; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Other individuals, as recognized under the evidence-based home visiting model.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(11)">
      <text>“Provider” means a qualified individual licensed or certified to deliver home visiting services as a part of an evidence-based home visiting model.</text>
    </paragraph>
  </paragraph>
</regulation>