<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".30" citation="COMAR 10.09.81.30" title_num="10" subtitle_num="09" chapter_num="81" heading="Covered Services — Attendant Care Services.">
  <paragraph num="A.">
    <text>Definition. “Unit of service” means an hour of service that is in the plan of service and rendered to a participant by a qualified provider in the participant's home or in a community setting.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Except as provided in §C of this regulation, the ICS Program covers the following attendant care services:</text>
    <paragraph num="(1)">
      <text>Assistance with activities of daily living;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Delegated nursing functions, such as assistance with the participant's administration of medications or other remedies, when ordered by a physician, if this assistance is:</text>
      <paragraph num="(a)">
        <text>Specified in the participant's plan of service; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Rendered in accordance with the Maryland Nurse Practice Act, COMAR 10.27.11, and other requirements of the Maryland Board of Nursing;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Assistance with protecting a participant from harm or neglect;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Assistance with instrumental activities of daily living, provided as incidental to the services covered under §B(1) — (3) of this regulation; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Accompanying the participant outside of the home during the participant's community activities.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Attendant care services may not include:</text>
    <paragraph num="(1)">
      <text>Services rendered to anyone other than the participant or primarily for the benefit of anyone other than the participant;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The cost of food or meals;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Housekeeping services, other than those incidental services covered under §B(4) of this regulation;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Expenses related to room and board for either the participant or the attendant;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Expenses incurred while escorting a participant to obtain medical diagnosis or treatment; or</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Skilled medical services performed by individuals with a professional medical license or certification.</text>
    </paragraph>
  </paragraph>
</regulation>