<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".01" citation="COMAR 10.22.18.01" title_num="10" subtitle_num="22" chapter_num="18" heading="Scope.">
  <paragraph num="A.">
    <text>This chapter establishes the methodology by which the Department shall reimburse licensed Community Supported Living Arrangements providers for:</text>
    <paragraph num="(1)">
      <text>Services, the provision of which begins after June 30, 2000; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Existing services provided under contract which the Department shall convert to this rate system.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The rates are based on the service needs of the individual and an allowance for indirect expenses incurred by licensees.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Reimbursement for supplemental services are for services not covered by the rates.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Services reimbursed by the Community Supported Living Arrangements payment system established by this chapter are paid for by Medicaid funds or, in whole or in part, by State general funds.</text>
  </paragraph>
  <paragraph num="E.">
    <text>This chapter does not limit the Administration's ability to contract for other services or additional services according to State procurement laws and as set forth in this chapter.</text>
  </paragraph>
  <paragraph num="F.">
    <text>The Community Supported Living Arrangements payment system is subject to the budget appropriation approved by the General Assembly.</text>
  </paragraph>
  <paragraph num="G.">
    <text>The Administration pays for the most effective service at the most efficient cost.</text>
  </paragraph>
</regulation>