• English

    Google Translate Disclaimer

    The Maryland Department of Information Technology (“DoIT”) offers translations of the content through Google Translate. Because Google Translate is an external website, DoIT does not control the quality or accuracy of translated content. All DoIT content is filtered through Google Translate which may result in unexpected and unpredictable degradation of portions of text, images and the general appearance on translated pages. Google Translate may maintain unique privacy and use policies. These policies are not controlled by DoIT and are not associated with DoIT’s privacy and use policies. After selecting a translation option, users will be notified that they are leaving DoIT’s website. Users should consult the original English content on DoIT’s website if there are any questions about the translated content.

    DoIT uses Google Translate to provide language translations of its content. Google Translate is a free, automated service that relies on data and technology to provide its translations. The Google Translate feature is provided for informational purposes only. Translations cannot be guaranteed as exact or without the inclusion of incorrect or inappropriate language. Google Translate is a third-party service and site users will be leaving DoIT to utilize translated content. As such, DoIT does not guarantee and does not accept responsibility for, the accuracy, reliability, or performance of this service nor the limitations provided by this service, such as the inability to translate specific files like PDFs and graphics (e.g. .jpgs, .gifs, etc.).

    DoIT provides Google Translate as an online tool for its users, but DoIT does not directly endorse the website or imply that it is the only solution available to users. All site visitors may choose to use alternate tools for their translation needs. Any individuals or parties that use DoIT content in translated form, whether by Google Translate or by any other translation services, do so at their own risk. DoIT is not liable for any loss or damages arising out of, or issues related to, the use of or reliance on translated content. DoIT assumes no liability for any site visitor’s activities in connection with use of the Google Translate functionality or content.

    The Google Translate service is a means by which DoIT offers translations of content and is meant solely for the convenience of non-English speaking users of the website. The translated content is provided directly and dynamically by Google; DoIT has no direct control over the translated content as it appears using this tool. Therefore, in all contexts, the English content, as directly provided by DoIT is to be held authoritative.


    Maryland Register

    Issue Date:  September 14, 2018

    Volume 45 • Issue 19 • Pages 876—877


    Title 10 


    10.09.48 Targeted Case Management for People with Developmental Disabilities

    Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland

    Notice of Proposed Action


         The Secretary of Health proposes to amend Regulation .08 under COMAR 10.09.48 Targeted Case Management for People with Developmental Disabilities.

    Statement of Purpose

    The purpose of this action is to implement a 3.5 percent cost of living allowance for targeted case management providers in accordance with Health General Article, §7-307(d), Annotated Code of Maryland.

    Comparison to Federal Standards

    There is no corresponding federal standard to this proposed action.


    Estimate of Economic Impact

    I. Summary of Economic Impact. The proposed action includes a 3.5% COLA for targeted case management providers. The total impact of this increase for the agency and the regulated industry equals $1,869,948.



    Revenue (R+/R-)


    II. Types of Economic Impact.






    A. On issuing agency:



    B. On other State agencies:


    C. On local governments:




    Benefit (+)
    Cost (-)




    D. On regulated industries or trade groups:



    E. On other industries or trade groups:


    F. Direct and indirect effects on public:


    III. Assumptions. (Identified by Impact Letter and Number from Section II.)

    A. The impact on MDH assumes a 3.5 percent increase over the current published rate of $18.61 per unit, or $0.6514. The increase brings the published rate to $19.26 for FY 2019. The total impact calculation is based on the total of 2,870,880 units of service provided by targeted case management providers in FY 2018. 55 percent of the total cost ($1,014,447) is paid with General Funds; the remaining 45 percent ($855,501) is paid with federal funds.

    D. As a result of increasing the per unit rate for Targeted Case Management Services, providers will receive increased payments, totaling $1,869,948 in FY 2019.

    Economic Impact on Small Businesses

    The proposed action has a meaningful economic impact on small business. An analysis of this economic impact follows.

    The proposed action has a meaningful economic impact on small businesses because the higher reimbursement rates infuse dollars into targeted case management entities that provide these services in the community.

    Impact on Individuals with Disabilities

    The proposed action has no impact on individuals with disabilities.

    Opportunity for Public Comment

    Comments may be sent to Michele Phinney, Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 W. Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to mdh.regs@maryland.gov, or fax to 410-767-6483. Comments will be accepted through October 15, 2018. A public hearing has not been scheduled.

    .08 Payment Procedures.

    A. (text unchanged)

    B. Payment Rates.

    (1)—(2) (text unchanged)

    (3) For all other services, providers shall be reimbursed:

    (a)—(e) (text unchanged)

    (f) $17.99 per unit of service from July 1, 2016 through June 30, 2017; [and]

    (g) $18.61 per unit of service [thereafter] from July 1, 2017 through June 30, 2018; and

    (h) $19.26 per unit of service thereafter.

    C.—E. (text unchanged)

    Secretary of Health