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<regulation prefix="Regulation" num=".03" citation="COMAR 10.22.14.03" title_num="10" subtitle_num="22" chapter_num="14" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Administration” means the Developmental Disabilities Administration (DDA) under the Maryland Department of Health.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Agency” means the selected licensed family and individual support program that administers the Program on behalf of the Administration.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Camp” means a day camp, residential camp, travel camp, or trip camp that:</text>
      <paragraph num="(a)">
        <text>During a calendar year, accommodates seven or more campers who are unrelated to the operator;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Provides primarily recreational activities or has a substantial recreational component; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Operates on private property or private facilities, whether leased or owned, public property, or public facilities.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>“Child care” means the care or supervision for an individual, younger than 21 years old, who has a disability or other emotional, developmental, physical, educational, or medical need necessitating child care when the individual’s parent or legal guardian gives the individual’s care over to another for some portion of a 24-hour day as a supplement to the parent’s or guardian’s primary care of the child.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Day care” means the care provided to an individual 21 years old or older, who has a disability or other emotional, developmental, physical, educational, or medical need necessitating care from an adult day care center.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Eligible disability” means the individual has a severe chronic disability that:</text>
      <paragraph num="(a)">
        <text>Is attributable to a physical or mental impairment, other than the sole diagnosis of mental illness, or to a combination of physical and mental impairments; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is likely to continue indefinitely.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>“Dietitian and nutritionist services” mean:</text>
      <paragraph num="(a)">
        <text>Nutrition care planning, nutrition assessment, and dietetic instruction; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Services within the scope of practice of the nutritionist's or dietitian's license, as defined by:</text>
        <paragraph num="(i)">
          <text>Health Occupations Article, Title 5, Annotated Code of Maryland; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Regulations under COMAR 10.56 for the Board of Dietetic Practice.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>“Health services” means services:</text>
      <paragraph num="(a)">
        <text>Provided by individuals regulated under the Health Occupations Article, Annotated Code of Maryland;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>That the respective licensing Board approves as a valid treatment for the presenting problem; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>That include health assessments such as psychological, neuropsychological, dental, and speech-language assessments.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>Housing Adaptations and Barrier Removals.</text>
      <paragraph num="(a)">
        <text>“Housing adaptations and barrier removals” means those physical adaptations or modifications to the individual’s or family’s home which are required to make it accessible to the individual because of the:</text>
        <paragraph num="(i)">
          <text>Physical structure of the residence; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Individual’s specific functional needs.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>“Housing adaptations and barrier removals” may include but are not limited to:</text>
        <paragraph num="(i)">
          <text>Visual fire alarms;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Ramps;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Grab bars or handrails;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Stair glides;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Widening of doorways;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Modification of bathroom or kitchen facilities to make them physically accessible;</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Specialized electrical and plumbing systems to accommodate the medical equipment and supplies which are necessary for the individual's welfare;</text>
        </paragraph>
        <paragraph num="(viii)">
          <text>Locks, buzzers, or other devices on doorways to prevent or stop wandering; and</text>
        </paragraph>
        <paragraph num="(ix)">
          <text>Home modifications to help a individual identify the physical environment.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(10)">
      <text>“Most integrated setting” means a setting that enables individuals with disabilities to interact with non-disabled persons to the fullest extent possible.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Program” means the Low Intensity Support Services Program that the Administration operates by contracting with approved Agencies.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Random selection process” means a system used to identify the applicants who will be considered for funding during Round 1 and Round 2 of each fiscal year, by using an automated system that does not consider the identity or any other personal aspect of the applicants.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Services” means low intensity support services as describe in this chapter.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>Specialized Equipment and Assistive Technology.</text>
      <paragraph num="(a)">
        <text>“Specialized equipment and assistive technology” means non-experimental technology or adaptive equipment which:</text>
        <paragraph num="(i)">
          <text>Enables an individual to live in the community and to participate in community activities; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Meets applicable standards of manufacture, design, usage, and installation.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>“Specialized Equipment and assistive technology” may include:</text>
        <paragraph num="(i)">
          <text>Environmental control units for participants' homes to allow spontaneous or programmed control of household appliances and other home devices;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Devices with web-based operating systems, software, and computer accessories that enable participants to function more independently;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>Maintenance and repair of the covered assistive technology devices and equipment, as necessary;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Augmentative communication and communication-enhancement devices;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Aids for daily living and self-help aids used in activities such as eating, bathing, cooking, dressing, toileting, and home maintenance; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Equipment needed to adapt the individual's or family's automotive vehicle for personal transportation such as:</text>
        <paragraph num="(i)">
          <text>Adaptive driving aids;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Hand controls; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Wheelchair lifts, and other lifts used for personal transportation.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(15)">
      <text>“Therapy” means occupational, physical, speech, or behavioral therapy that is not funded by other State funded programs or by health insurance, including the Medical Assistance Program.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Therapeutic summer program” means a set of services designed to provide medical, behavioral, or psychological therapies, such as speech, applied behavior analysis, and occupational, through a variety of activities, in a safe environment, which are recommended by a licensed professional, and provided by clinical staff with clinical oversight.</text>
    </paragraph>
    <paragraph num="(17)">
      <text>“Usual, customary, and reasonable” means the amount paid for a service in a geographic area that is based on what providers in the area typically charge for the same or similar service, so long as that charge is reasonable.</text>
    </paragraph>
  </paragraph>
</regulation>