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<regulation prefix="Regulation" num=".02" citation="COMAR 31.10.39.02" title_num="31" subtitle_num="10" chapter_num="39" 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>“Applied behavior analysis” means the design, implementation, and evaluation of environmental modifications, using behavioral stimuli and consequences, to produce socially significant improvement in human behavior, including the use of direct observation, measurement, and functional analysis of the relationship between environment and behavior.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Behavioral health treatment” means professional counseling and treatment programs, including applied behavior analysis, that are necessary to develop, maintain, or restore, to the maximum extent practicable, the functioning of an individual.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Carrier” means an insurer, a nonprofit health service plan, or a health maintenance organization.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Child” means an individual who is:</text>
      <paragraph num="(a)">
        <text>Younger than 19 years of age; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Diagnosed with autism or autism spectrum disorder.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>“Commissioner” means the Maryland Insurance Commissioner.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Habilitative services” has the meaning stated in Insurance Article, §15-835, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Health benefit plan” has the meaning stated in Insurance Article, §15-1301, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Health maintenance organization” has the meaning stated in Health-General Article, §19-701, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Insurer” has the meaning stated in Insurance Article, §1-101, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Nonprofit health service plan” means a person who has received a certificate of authority from the Commissioner to act as a nonprofit health service plan in the State.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Private review agent” has the meaning stated in Insurance Article, §15-10B-01, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>Psychological Care.</text>
      <paragraph num="(a)">
        <text>“Psychological care” means direct or consultative services provided by a psychologist licensed in the state in which the services are provided or by a social worker licensed in the state in which in which the services are provided.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Psychological care” includes psychotherapy.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(13)">
      <text>“Therapeutic care” means services provided by a speech-language pathologist, occupational therapist, or physical therapist licensed in the state in which the services are provided.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Utilization review” has the meaning stated in Insurance Article, §15-10B-01, Annotated Code of Maryland.</text>
    </paragraph>
  </paragraph>
</regulation>