<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.22.18.06" title_num="10" subtitle_num="22" chapter_num="18" heading="Requests For and Approval of Supplemental Services.">
  <paragraph num="A.">
    <text>In order for the Administration to reimburse a licensee for supplemental services, the Administration shall preauthorize the service and approve the cost.</text>
  </paragraph>
  <paragraph num="B.">
    <text>To be approved for reimbursement of supplemental services, except housing, the licensee shall:</text>
    <paragraph num="(1)">
      <text>Submit a written request to the Administration justifying the request, including:</text>
      <paragraph num="(a)">
        <text>Recommendations from the individual's team,</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Documentation from appropriate professionals, and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Other documentation the Administration requires; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Justify the basis of the proposed costs and submit supporting documentation, such as:</text>
      <paragraph num="(a)">
        <text>Bids from vendors,</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Advertisements for the item, and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Rates of a proposed vendor.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>To be approved for reimbursement of supplemental housing costs, the licensee shall submit a written request to the Administration documenting:</text>
    <paragraph num="(1)">
      <text>The individual's income and expenses;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The housing costs; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Efforts to obtain other State or federal assistance with housing costs.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>In deciding whether to authorize supplemental services, the Administration shall:</text>
    <paragraph num="(1)">
      <text>Consider the documentation submitted by the provider in this regulation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Consider the proposed cost for the service;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>If appropriate, visit the individual in the setting where the continuous supplemental services are to be provided; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Review the licensee's efforts to meet the individual's needs within existing resources.</text>
    </paragraph>
  </paragraph>
</regulation>