Supplemental services do not include any services that are in the Maryland Medical Assistance Program and can be provided to an individual and reimbursed under the Medical Assistance Program, or any services covered by private insurance, including Medicare. Supplemental services include: Respite; Expenses related to the operation and maintenance of the individual's vehicle; Medical equipment; Structural modifications for accessibility; Habitation start-up; Assistive technology; Other services as preauthorized and approved by the Administration; and Housing costs, if: The individual is unable to pay the full amount of ongoing housing costs, and There are no other State or federal resources available to pay for the ongoing housing costs.