• English
    X

    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.

    PROPOSAL
    Maryland Register
    Issue Date:  November 14, 2016
    Volume 43 • Issue 23 • Pages 1285—1286
     
    Title 10
    DEPARTMENT OF HEALTH AND MENTAL HYGIENE
    Subtitle 09 MEDICAL CARE PROGRAMS
    10.09.54 Home and Community-Based Options Waiver
    Authority: Health-General Article, §§2-104(b), 15-103, 15-105, and 15-132, Annotated Code of Maryland
    Notice of Proposed Action
    [16-292-P]
    The Secretary of Health and Mental Hygiene proposes to amend Regulations .13―.19 and .22 under COMAR 10.09.54 Home and Community-Based Options Waiver.
    Statement of Purpose
    The purpose of this action is to modify the indexing of rates in order to be consistent among home and community-based services programs and to ensure that the amount of the applicable index will be known during the time that the annual budget is developed. In addition, unnecessary definitions are being deleted.
    Comparison to Federal Standards
    There is no corresponding federal standard to this proposed action.
    Estimate of Economic Impact
    The proposed action has no economic impact.
    Economic Impact on Small Businesses
    The proposed action has minimal or no economic impact on small businesses.
    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, Department of Health and Mental Hygiene, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to dhmh.regs@maryland.gov, or fax to 410-767-6483. Comments will be accepted through December 14, 2016. A public hearing has not been scheduled.
    .13 Covered Services — Assisted Living Services.
    [A. Definition. 'Unit of service' means a day of service.]
    [B.] A.[D.] C. (text unchanged)
    .14 Covered Services — Behavior Consultation Services.
    [A. Definition. 'Unit of service' means an hour of service that is approved in the plan of service and rendered to a participant by a qualified provider, not including:
    (1) The time spent on related activities before or after the home visit; or
    (2) The provider's time spent on any supervisory or consultative services provided to the renderer of services.]
    [B.] A. A provider may bill for the length of a home visit to a participant, upon completion of the services specified in [§D] §C of this regulation.
    [C.] B.[D.] C. (text unchanged)
    D. Behavior consultation services do not include:
    (1) The time spent on related activities before or after the home visit; or
    (2) The provider’s time spent on any supervisory or consultative services provided to the renderer of services.
    .15 Covered Services — Senior Center Plus.
    A. [Definition. 'Unit of service' means a day of attendance by a participant] A day of service is covered by the Program when the participant attends for at least 4 hours, not including transportation to and from the center.
    B.―E. (text unchanged)
    .16 Covered Services — Family Training.
    A. [Definition. 'Unit of service' means an hour of service that] The Program covers family training when the service is approved in the plan of service and rendered to a family member by a qualified provider, not including the time spent planning, preparing, setting up or following up after the training.
    B.―D. (text unchanged)
    .17 Covered Services — Dietitian and Nutritionist Services.
    [A. Definition. 'Unit of service' means an hour of service that is approved in the plan of service and rendered to a participant by a qualified provider.]
    [B.] A.[D.] C. (text unchanged)
    .18 Covered Services — Medical Day Care Services.
    [A. Definition. 'Unit of service' means a day of care in which the participant is certified present at the medical day care center a minimum of 4 hours.]
    [B.] A provider shall render medical day care services in accordance with COMAR 10.09.07.
    .18-1 Covered Services — Respite Care.
    [A. Definition. “Unit of service” means a day of service.]
    [B.] Respite care services shall:
    [(1)] A.[(6)] F. (text unchanged)
    [(7)] G. Including the following services:
    [(a)] (1)[(c)] (3) (text unchanged)
    .19 Covered Services — Case Management Services.
    [A. Definition. 'Unit of service' means a 15-minute increment of service that is approved by the Department and rendered to a participant by a qualified provider.]
    [B.] A.[C.] B. (text unchanged)
    .22 Payment Procedures.
    A.―C. (text unchanged)
    D. Rates.
    (1) (text unchanged)
    (2) The Program’s rates as specified in the Department’s fee schedule shall increase on July 1 of each year, subject to the limitations of the State budget, by the lesser of:
    (a) (text unchanged)
    (b) The percentage of the annual increase in the [March] previous July Consumer Price Index for All Urban Consumers, [all items] medical care component, Washington-Baltimore, from U.S. Department of Labor, Bureau of Labor Statistics.
    VAN T. MITCHELL
    Secretary of Health and Mental Hygiene