# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 81 — Increased Community Services (ICS) Program

#### Regulation .34 Covered Services — Behavior Consultation Services.

*COMAR 10.09.81.34*

A. Definition. “Unit of service” means an hour of service rendered by a qualified individual during a home visit to a participant, not including:

  (1) The time spent on related activities before or after the home visit; or

  (2) The time spent on supervisory or consultative services to the provider.

B. A provider may bill for the length of a home visit to a participant, upon completion of the services specified in §D of this regulation.

C. Behavior consultation services may be preauthorized by a participant's plan of care as necessary and appropriate when:

  (1) A participant's behavior is:

    (a) Disruptive;

    (b) Potentially dangerous to the participant's or another person's health and functioning; or

    (c) Placing the participant at risk of institutionalization due to health and safety concerns; and

  (2) Advice is needed as to how to manage the disruptive behavior of a participant.

D. Behavior consultation services include a:

  (1) Home visit by an individual qualified to render services to:

    (a) Evaluate a participant's acute behavior change;

    (b) Assess the situation;

    (c) Determine the contributing factors; and

    (d) Recommend interventions and treatments;

  (2) Written report prepared for review by the case manager and the assisted living services provider or the participant's family, which assesses the situation and makes recommendations; and

  (3) Verbal review of the report with the case manager and the assisted living services provider or the participant's family to discuss:

    (a) The report's findings and recommendations; and

    (b) A course of action, including any related needed medical interventions.