<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".24" citation="COMAR 10.09.81.24" title_num="10" subtitle_num="09" chapter_num="81" heading="Covered Services — Case Management.">
  <paragraph num="A.">
    <text>Definition. “Unit of service” means a 15-minute increment of service rendered by a qualified provider to a participant or the participant's representative.</text>
  </paragraph>
  <paragraph num="B.">
    <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="C.">
    <text>Case management services include time spent by a qualified provider conducting any of the following activities:</text>
    <paragraph num="(1)">
      <text>Assisting with an initial or annual ICS Program eligibility process;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Assisting with an application and 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 services, to include all services needed to live safely in the community;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Assisting with referral, access, and coordination of services, both Medicaid and non-Medicaid, to address the individual's needs including, but not limited to:</text>
      <paragraph num="(a)">
        <text>Community integration;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Medical services;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Social services;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Educational services;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Behavioral health;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Legal services; and</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Housing;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Contacting ICS Program providers and Medicaid State Plan providers not less than monthly and documenting that services were received in the amount, type, frequency, and duration described in the plan of services;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Ensuring timely receipt of all other services and documenting follow-up;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Facilitating referral to other programs if the individual is denied ICS Program services; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Using information technology systems developed by the Department.</text>
    </paragraph>
  </paragraph>
</regulation>