<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 10.22.18.02" title_num="10" subtitle_num="22" chapter_num="18" 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>“Actual costs” means all direct and indirect costs that the provider incurs for labor performed or goods delivered.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Administration” means the Developmental Disabilities Administration.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Base services” means services covered by the rate.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Community Supported Living Arrangements (CSLA)” has the meaning stated in COMAR 10.22.01.01B(12).</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Department” means the Maryland Department of Health.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Direct services” means services provided directly to the individual.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Existing services” means a service provided continuously to an individual by the same provider beginning on or before June 30, 2000.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Fiscal management services (FMS)” means a person approved by the Administration and designated as an Organized Health Care Delivery System under COMAR 10.22.20 that:</text>
      <paragraph num="(a)">
        <text>Assists individuals and families in managing their funds and paying for services; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is responsible for submitting financial reports to the individual and Administration.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>“Hours of service” means the preauthorized hours of direct services made available to the individual being served as identified in the individual plan.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Individual plan (IP)” has the meaning stated in COMAR 10.22.01.01B(27).</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Licensee” means a provider of Community Supported Living Arrangement services licensed under COMAR 10.22.02.01A.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“New individuals” means those individuals starting Community Supported Living Arrangements services with a licensee after June 30, 2000.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>Professional Services.</text>
      <paragraph num="(a)">
        <text>“Professional services” means services provided by an individual authorized to perform these services under Health Occupations Article, Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Professional services” includes but is not limited to direct, on- going nursing services and behavioral services provided in accordance with COMAR 10.22.10.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(14)">
      <text>“Rate” means the amount the Department pays for an hour of CSLA service and covers all actual costs incidental to providing the service, including but not limited to coordination of the service; nursing review of services; administrative costs; staff hiring, training, travel, and supervision; and program direction. The hours of service are used to determine the rate.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Self-directed services” means services, as approved by the Administration:</text>
      <paragraph num="(a)">
        <text>That an individual arranges; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>For which the individual reimburses the provider.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(16)">
      <text>“Supplemental services” means preauthorized services not covered by the rate.</text>
    </paragraph>
    <paragraph num="(17)">
      <text>“Support broker” means a person employed by individuals and families, who have been determined eligible by the Administration, that helps them:</text>
      <paragraph num="(a)">
        <text>Decide what services and supports are best for them; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Access and manage the chosen services and supports.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>