<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".32" citation="COMAR 10.09.81.32" title_num="10" subtitle_num="09" chapter_num="81" heading="Covered Services — Home-Delivered Meals.">
  <paragraph num="A.">
    <text>Definition. “Unit of service” means one meal delivered to the participant's home, including the cost of the food, food preparation, and delivery.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The meal shall be intended for consumption at home.</text>
  </paragraph>
  <paragraph num="C.">
    <text>This service may not constitute the participant's full nutritional regimen of three meals per day.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Each meal shall:</text>
    <paragraph num="(1)">
      <text>Be nutritionally adequate for the participant's age based on the Recommended Dietary Allowance (RDA) or Dietary Reference Intake (DRI), as established by the Food and Nutrition Board of the National Research Council; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Meet either of the following:</text>
      <paragraph num="(a)">
        <text>At least one-third of the RDA or DRI; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Therapeutic or restrictive diet requirements ordered by the participant's physician, dietitian, or nutritionist, including any ordered nutritional supplements.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>The ICS Program's coverage under this regulation may not:</text>
    <paragraph num="(1)">
      <text>Result, when combined with home-delivered meals received under Title III of the Older Americans Act, in public funding for the participant's full daily nutritional regimen of three meals; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Supplant payment for home-delivered meals under Title III.</text>
    </paragraph>
  </paragraph>
</regulation>