<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.22.17.06" title_num="10" subtitle_num="22" chapter_num="17" heading="Determination of Individual Component.">
  <paragraph num="A.">
    <text>The individual component is for costs the provider incurs in providing direct services to the individual.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The Administration shall establish an individual component for new and existing services that is based on the:</text>
    <paragraph num="(1)">
      <text>Individual indicator rating scale; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Geographic region in which the service is provided.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Individuals who have been receiving services from a provider and who are transferring to a different provider shall retain the individual component established by the Administration.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Except as set forth in §C of this regulation, the following apply:</text>
    <paragraph num="(1)">
      <text>The regional director shall establish a temporary individual component for each service the individual is to receive by taking the average of the individual components for all the individuals served by the provider in the service category;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The provider shall forward the individual information form reflecting the results of the individual indicator rating scale assessment to the regional director within 35 days for approval;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The Administration shall establish a permanent individual component within 6 months based on the approved individual indicator rating scale assessment; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The permanent individual component shall be retroactive to the date the individual entered service.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>The geographic regions are as follows:</text>
    <paragraph num="(1)">
      <text>Region 1 represents Baltimore City, Baltimore County, Anne Arundel County, Harford County, Howard County, Carroll County, and Queen Anne's County;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Region 2 represents Calvert County, Frederick County, Prince George's County, Montgomery County, and Charles County;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Region 3 represents St. Mary's County, Garrett County, Caroline County, Dorchester County, Kent County, Somerset County, Talbot County, Wicomico County, and Worcester County;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Region 4 represents Allegany County;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Region 5 represents Cecil County; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Region 6 represents Washington County.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>For purposes of this regulation, levels 1—5 in supervision/assistance and levels 1—5 in health/medical in §G of this regulation represent levels of services needed by individuals as assessed by the individual indicator rating scale.</text>
  </paragraph>
  <paragraph num="G.">
    <text>Table of Individual Components Effective July 1, 2019.</text>
    <paragraph num="(1)">
      <text>Residential Programs.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Day Programs.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Supported Employment Programs.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Community Learning Services.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Employment Discovery and Customization.</text>
    </paragraph>
  </paragraph>
</regulation>