<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".09" citation="COMAR 10.22.17.09" title_num="10" subtitle_num="22" chapter_num="17" heading="Supplemental Services.">
  <paragraph num="A.">
    <text>The Administration may preauthorize supplemental services.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Supplemental services do not include any services that are in the State Medical Assistance Plan and can be provided to an individual and reimbursed under the Medical Assistance Program, or any services covered by private insurance or federal and State funded health programs.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Supplemental services include:</text>
    <paragraph num="(1)">
      <text>Household furnishings and equipment, normally funded once per individual;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Transportation equipment and expenses;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Assistive technology;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Medical equipment;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Structural modifications for accessibility; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Other services as preauthorized by the Administration that directly benefit the individual.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Procedures for Requesting Authorization of Supplemental Services. On forms approved by the Administration, the provider shall submit documentation that justifies the:</text>
    <paragraph num="(1)">
      <text>Request for supplemental services, and includes:</text>
      <paragraph num="(a)">
        <text>Recommendations from the individual's team;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Documentation from appropriate individuals; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Any other information required by the Administration; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Basis of the proposed costs, such as:</text>
      <paragraph num="(a)">
        <text>Bids from vendors;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Advertisements or invoices from retail or wholesale outlets selling goods and services to the general public; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Rates of a proposed vendor.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Administration Approval of Supplemental Services. In deciding whether to preauthorize a supplemental service, the Administration shall:</text>
    <paragraph num="(1)">
      <text>Consider the documentation submitted by the provider in §D of this regulation that identifies the needs of the individual;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Consider the proposed cost for the supplemental service and the availability of State funds;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>If appropriate, visit the individual in the setting where the service is to be provided; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Review the provider's efforts to meet the individual's needs with existing resources available at the site.</text>
    </paragraph>
  </paragraph>
</regulation>