<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 10.22.15.02" title_num="10" subtitle_num="22" chapter_num="15" 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).</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Appropriate evaluation” means the assessment of an individual using accepted professional standards to determine the presence or absence of a developmental disability:</text>
      <paragraph num="(a)">
        <text>As defined in Health-General Article, §7-101(e), Annotated Code of Maryland; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>That qualifies the individual for individual support services only as defined in Health-General Article, §7-403(c), Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>“Community placement” means when an individual is discharged from a State residential center into the community and receives community-based services.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Department” means the Maryland Department of Health.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Developmental disability” means a severe, chronic disability of an individual 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 mental and physical impairments;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is manifested before the individual becomes 22 years old;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Is likely to continue indefinitely;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Results in an inability to live independently without external support or continuing and regular assistance; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Reflects the need for a combination and sequence of special, interdisciplinary, or generic care, treatment, or other services that are individually planned and coordinated for the individual.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>“Eligibility for support services only” means an individual has a severe chronic disability that is:</text>
      <paragraph num="(a)">
        <text>Attributable to a physical or mental impairment other than the sole diagnosis of mental illness, or to a combination of mental and physical impairments; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Likely to continue indefinitely.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>“Family caregiver” means any of the following who is residing with the eligible individual:</text>
      <paragraph num="(a)">
        <text>Spouse;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Biological, adoptive, or foster parent;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Guardian;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Sibling;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Grandparent; or</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Other related next of kin.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>Family Support Services.</text>
      <paragraph num="(a)">
        <text>“Family support services” means a program designed to enable a family to provide for the needs of a child with developmental disability living in the family home.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Family support services” includes:</text>
        <paragraph num="(i)">
          <text>Individual and family counseling;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Personal care;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Day care;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Specialized equipment;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Health services;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Respite care;</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Housing adaptations; and</text>
        </paragraph>
        <paragraph num="(viii)">
          <text>Transportation.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>“Individual” means the person for whom an application for services has been filed with the Administration.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Individual Support Services.</text>
      <paragraph num="(a)">
        <text>“Individual support services” means an array of services that are designed to increase or maintain an individual's ability to live alone or in a family setting.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Individual support services” includes:</text>
        <paragraph num="(i)">
          <text>In-home assistance with meals and personal care;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Counseling;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Physical, occupational, or other therapies;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Architectural modification; and</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Other services that the Administration considers appropriate to meet an individual's needs.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(11)">
      <text>“Individualized community integration day services” means any full-time or part-time program of habilitation, health-related services, scheduled training, or skills development activities conducted outside the individual's home.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>Individualized Supported Living Arrangements Services.</text>
      <paragraph num="(a)">
        <text>“Individualized supported living arrangements services” means residential services provided in alternative living units (ALUs), community supported living arrangements (CSLA), and any other community residential arrangement which is individualized.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Individualized supported living arrangements services” does not include group homes.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(13)">
      <text>“Previous resident of a State residential center” means an individual who:</text>
      <paragraph num="(a)">
        <text>Was a resident of that facility on the first day of that fiscal year; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Had resided at the facility at least 120 days during the 180 days immediately preceding placement in the community.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(14)">
      <text>“Respite care” means short-term care not to exceed 14 consecutive days or 28 days in a 12-month period that is made available to provide relief for the individual with whom the developmentally disabled individual ordinarily lives.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“State residential center (SRC)” means a place that:</text>
      <paragraph num="(a)">
        <text>Is owned and operated by the State;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Provides residential services for an individual with an intellectual disability and who, because of an intellectual disability, requires specialized living arrangements and meets the criteria under Health-General Article, §§7-502 and 7-505, Annotated Code of Maryland; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Admits nine or more individuals with intellectual disabilities.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(16)">
      <text>“Supported employment” means paid competitive employment in an integrated work setting consistent with the federal Rehabilitation Act 1992 amendments.</text>
    </paragraph>
    <paragraph num="(17)">
      <text>“Waiting list” means those individuals who have:</text>
      <paragraph num="(a)">
        <text>Applied for services from the Administration in accordance with COMAR 10.22.12.04;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Been considered eligible for services in accordance with COMAR 10.22.12.06; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Not yet received services for which they have applied from the Administration.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(18)">
      <text>“Waiting list equity fund (WLEF)” means the fund established according to the requirements specified in Health-General Article, §7-206, Annotated Code of Maryland.</text>
    </paragraph>
  </paragraph>
</regulation>