1. A. The local department shall collect the application and determine client’s eligibility and the type of service for which the applicant is appropriate.

2. B. After determining eligibility and program appropriateness, the local department shall notify the adult or the adult’s representative in writing of the decision. If the decision is to:

   1. (1) Accept the application for service the notice shall include the facts that:

      1. (a) The adult is eligible for service and which service will be provided;
      2. (b) Type and amount of service to be provided; and
      3. (c) The right to, and the method for, obtaining a fair hearing;

   2. (2) Place the client on a waitlist, the notice shall include the facts that:

      1. (a) The adult is eligible for service, however, due to a lack of funding or staff, services are not available at this time and the client will be placed on a waitlist for services;
      2. (b) Information directing the client or the client’s representative to contact the local department should the client’s need, risk level, or circumstances change; and
      3. (c) The specific regulation supporting the reason; or

   3. (3) Deny the application for service, and the notice shall include the:

      1. (a) Reason for the denial;
      2. (b) Specific regulation supporting the reason; and
      3. (c) Right to and the method for, obtaining a fair hearing.

3. C. Service Appropriateness.

   1. (1) Information and Referral service is appropriate for an adult with generally adequate coping skills and who:

      1. (a) Has a question about the existence or availability of a resource in the community;
      2. (b) Requires a service not provided by the department but with minimum assistance can use another system providing the needed service; and
      3. (c) Has a problem and is able to make independent decisions but refuses other services from the department.

   2. (2) Crisis Intervention service is appropriate for an adult whose normal coping patterns have failed and who:

      1. (a) Is experiencing a situational change;
      2. (b) Needs guidance in taking on a new role or achieving other adjustment; and
      3. (c) Has at least minimal capacity for independent functioning.

   3. (3) Case Management service is appropriate for an adult who:

      1. (a) Seeks to achieve or maintain economic self-support;
      2. (b) Seeks to achieve or maintain self-sufficiency;
      3. (c) Seeks assistance navigating needed service systems;
      4. (d) Is at risk of abuse, neglect, exploitation, or self-neglect;
      5. (e) Requires service from the local department or other resource in order to be discharged from an institution;
      6. (f) Is discharged or released from a nursing institution has sufficient capacity for independent living and decision-making but requires service from the local department or other agency in order to secure appropriate resources to live in the community;

      7. (g) Is experiencing a crisis, examples of which include but are not limited to adults in the following circumstances:

         1. (i) Previously a recipient of community service, but no longer eligible;
         2. (ii) Recently unemployed;
         3. (iii) Homeless; or
         4. (iv) Recent loss of a spouse;
      8. (h) Seeks to engage and enhance involvement with formal and informal resources;
      9. (i) Seeks to achieve successful personal outcomes; or
      10. (j) Requires In-Home Aide Services, Adult Foster Care, or who is eligible and waiting for placement in a CARE home.

Authority: Human Services Article, §§4-205(a), 4-207, 5-205(a), and 5-207, Annotated Code of Maryland

Effective date: November 4, 1977 (4:23 Md. R. 1729)

Regulation .11 amended effective November 3, 1978 (5:22 Md. R. 1672); September 7, 1979 (6:18 Md. R. 1457); July 1, 1980 (7:13 Md. R. 1272); August 17, 1981 (8:16 Md. R. 1362)

Regulations .01—.11 under Community Home Care Services repealed effective July 29, 1985 (12:15 Md. R. 1510)

Regulations .01—.12 adopted effective July 29, 1985 (12:15 Md. R. 1510)

Regulation .03A amended effective November 26, 1990 (17:23 Md. R. 2732)

Regulation .12 amended effective October 6, 1986 (13:20 Md. R. 2209); July 12, 1987 (14:14 Md. R. 1570); July 1, 1988 (15:11 Md. R. 1330); July 1, 1989 (16:12 Md. R. 1333)

Regulation .12 repealed effective November 26, 1990 (17:23 Md. R. 2732)

Recodified from COMAR 07.02.15 to 07.06.13, December, 1992

Chapter revised effective October 29, 2001 (28:21 Md. R. 1854)

Regulation .02B amended effective December 1, 2008 (35:24 Md. R. 2075)

Regulation .03 amended effective December 1, 2008 (35:24 Md. R. 2075)

Regulation .05 amended effective December 1, 2008 (35:24 Md. R. 2075)

Regulation .06 amended effective December 1, 2008 (35:24 Md. R. 2075)

Regulation .07 amended effective December 1, 2008 (35:24 Md. R. 2075)

Regulation .08C amended effective December 1, 2008 (35:24 Md. R. 2075)

Regulation .09 amended effective December 1, 2008 (35:24 Md. R. 2075)

Regulation .11D amended effective December 1, 2008 (35:24 Md. R. 2075)

Chapter recodified from COMAR 07.06.13 to COMAR 07.02.15, effective June, 2009

Regulation .01 amended effective April 10, 2017 (44:7 Md. R. 353)

Regulation .02B amended effective April 10, 2017 (44:7 Md. R. 353)

Regulation .03 amended effective April 10, 2017 (44:7 Md. R. 353)

Regulation .03A amended effective August 20, 2012 (39:16 Md. R. 1079)

Regulation .03C amended effective April 18, 2011 (38:8 Md. R. 505)

Regulation .04A—C amended effective April 10, 2017 (44:7 Md. R. 353)

Regulation .05 amended effective April 10, 2017 (44:7 Md. R. 353)

Regulation .06 amended effective April 10, 2017 (44:7 Md. R. 353)

Regulation .07 amended effective April 10, 2017 (44:7 Md. R. 353)

Regulation .08 amended effective April 10, 2017 (44:7 Md. R. 353)

Regulation .09 amended effective April 10, 2017 (44:7 Md. R. 353)

Regulation .10 amended effective April 10, 2017 (44:7 Md. R. 353)

Regulation .11 amended effective April 10, 2017 (44:7 Md. R. 353)

Regulation .12 repealed effective April 18, 2011 (38:8 Md. R. 505)