<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 14.11.01.04" title_num="14" subtitle_num="11" chapter_num="01" heading="Limitations on Service and Participation in the Program.">
  <paragraph num="A.">
    <text>The Program Director shall limit Program participation to the number of participants whom the Program's budget can serve. If sufficient funds are not available, the Department may limit the rate of payment under the sliding reimbursement scale.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The Program Director shall limit Program participation to achieve the following demographic:</text>
    <paragraph num="(1)">
      <text>At least 50 percent of the participants shall be:</text>
      <paragraph num="(a)">
        <text>Self-employed or competitively employed with compensation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Actively seeking employment and reasonably be expected to become employed within 6 months of the date of application approval, which the Program Director may extend once for an additional 6 months; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Attending an institution of postsecondary, higher education, or apprenticeship training program; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Not more than 50 percent of the participants shall be:</text>
      <paragraph num="(a)">
        <text>At risk of placement in a nursing home, as certified by the attending physician, if attendant care services are not received in the community; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Residents of a nursing facility or similar institution who are seeking to transition into the community and will be capable of living in the community if attendant care services are received.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The Program Director shall seek to achieve the demographic in §B absent a limited or situational waiver from the Secretary.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Notwithstanding the above, an applicant found ineligible or properly disenrolled from the Program shall be required to observe a waiting period prior to reapplication of not less than:</text>
    <paragraph num="(1)">
      <text>1 year for reason of disability or financial eligibility; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>3 years upon a finding of fraud or misuse of program funds.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Applicants to the Program shall be encouraged to complete an application for medical assistance and utilize personal care services under the following programs, if applicable:</text>
    <paragraph num="(1)">
      <text>Examples of such services or programs include:</text>
      <paragraph num="(a)">
        <text>Community Personal Assistance Services;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Community First Choice Program; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A Home and Community-Based Waiver.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The Program is entitled to evaluate whether such services are duplicative.</text>
    </paragraph>
  </paragraph>
</regulation>