1. A. Adult Protective Services.

   1. (1) While providing the service of this program, the SSTA case manager shall be alert for indicators of abuse, neglect, exploitation, or self-neglect and, therefore, requires Adult Protective Services.
   2. (2) If the SSTA case manager determines that indicators of abuse, neglect, or exploitation exist, the worker shall make a referral to Adult Protective Services immediately.

   3. (3) If the SSTA case manager determines that indicators of self-neglect exist, the worker shall make a referral to Adult Protective Services if:

      1. (a) The adult or the adult's representative does not agree to and cooperate with a SSTA service plan which would result in a substantial abatement of the risk due to self-neglect; or
      2. (b) Guardianship of the Person of the adult is necessary to mitigate the risk due to self-neglect.
   4. (4) When the SSTA case manager refers a SSTA client to Adult Protective Services, the case manager shall continue services to the client until Continuing Adult Protective Services has begun.

2. B. In-Home Aide Services.

   1. (1) When the service plan indicates that an adult needs service from the In-Home Aide Services program, the case manager shall complete a written referral to the In-Home Aide Services program. The referral shall include at least the following:

      1. (a) A clear list of the specific aide services requested;
      2. (b) An explanation of why aide service is needed and what other resources have been explored to meet the adult's need for aide service; and
      3. (c) A statement of the specific objectives to be achieved by the aide service.

   2. (2) When the SSTA case manager reassesses the client’s service plan which includes use of In-Home Aide Services, the worker shall:

      1. (a) Request from the In-Home Aide Services program staff a Progress Report outlining their evaluation of the effect and effectiveness of the aide service on the client's overall circumstances; and
      2. (b) Notify the In-Home Aide Services program of any changes to the contents of the referral.
   3. (3) When the case manager determines that the adult requires immediate service from the In-Home Aide Services program in order to prevent abuse, neglect, self-neglect, exploitation, or institutional placement, the worker shall make an immediate verbal request to the In-Home Aide Services supervisor. The SSTA worker shall forward a written referral to the In-Home Aide Services supervisor within 5 working days of the verbal request for services.
   4. (4) When the case manager is notified that service to an adult from the In-Home Aide Services program will be or has been terminated, the worker shall begin a reassessment of the adult's service needs immediately, unless the termination is the result of a service plan previously developed by the worker with the adult or the adult's representative.

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)