# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 89 — 1915(i) Intensive Behavioral Health Services for Children, Youth, and Families

#### Regulation .10 Covered Services — Respite Services.

*COMAR 10.09.89.10*

Respite services:

A. Include a set of specific short-term services documented in the POC that include:

  (1) A schedule of the participant's activities during respite;

  (2) Medication monitoring, if needed;

  (3) The frequency, duration, and intensity of staff support;

  (4) Respite locations; and

  (5) The aftercare plan or recommendations;

B. Include community-based respite services, which are provided in the participant's home or other community-based setting;

C. Include out-of-home respite services, which provide a temporary overnight living arrangement outside of the participant’s home; and

D. Are provided by organizations that shall:

  (1) Meet the requirements of COMAR 10.63.03.15;

  (2) Employ respite care specialists who are:

    (a) 21 years old or older and have a high school diploma or high school equivalency; or

    (b) At least 18 years old and enrolled in, or in possession of at least an associate degree from, an accredited college or university in a human services field, and are limited to providing services to participants under 13 years of age;

  (3) Ensure that community-based respite services are provided in the participant's home or other community-based setting; and

  (4) Ensure that out-of-home respite services are:

    (a) Provided in a community-based temporary overnight living arrangement outside the participant's home; and

    (b) Where applicable, delivered in accordance with COMAR 14.31.05—14.31.07.