1. A. A provider may bill for the length of a home visit to a participant, upon completion of the services specified in §C of this regulation.

2. B. Behavior consultation services may be preauthorized by a participant's plan of service when:

   1. (1) A participant or the participant's representative request the service due to an identified behavioral issue; or

   2. (2) The participant's behavior is:

      1. (a) Potentially dangerous to the participant's or another person's health and functioning; or
      2. (b) Placing the participant at risk of institutionalization due to health and safety concerns.

3. C. Behavior consultation services include a:

   1. (1) Home visit by an individual qualified to render services to:

      1. (a) Evaluate a participant's behavior;
      2. (b) Assess the situation;
      3. (c) Determine the contributing factors; and
      4. (d) Recommend interventions and treatments; and

   2. (2) Written report with the results of the provider’s assessment and recommendations, which shall be reviewed verbally by the participant, the participant’s representative and family when applicable, and the participant’s case manager and caregivers, which may include an assisted living provider, to discuss:

      1. (a) The report's findings and recommendations; and
      2. (b) A course of action, including any related needed medical interventions.

4. D. Behavior consultation services do not include:

   1. (1) The time spent on related activities before or after the home visit; or
   2. (2) The provider's time spent on any supervisory or consultative services provided to the renderer of services.
5. E. The initial assessment provided in §C of this regulation to evaluate a participant's behavior, assess the situation, and determine the contributing factors shall be performed in person.
6. F. The verbal review described in §C(2) of this regulation may be delivered via telehealth if recommendations do not require hands-on training or intervention.
7. G. Except as provided in §§E and F of this regulation, behavior consultation services may be rendered via telehealth.

Authority: Health-General Article, §§2-104(b), 15-103, 15-105, 15-132, and 15-141.2, Annotated Code of Maryland

Effective date:

Regulations .01—19 adopted as an emergency provision effective July 22, 1993 (20:16 Md. R. 1275); adopted permanently effective October 26, 1993 (20:21 Md. R. 1654)

Chapter revised effective December 25, 2000 (27:25 Md. R. 2281)

Chapter revised effective June 21, 2004 (31:12 Md. R. 912)

Regulation .05A amended effective July 17, 2006 (33:14 Md. R. 1164)

Regulation .33C amended effective June 20, 2005 (32:12 Md. R. 1046); July 17, 2006 (33:14 Md. R. 1164)

Chapter revised effective April 9, 2007 (34:7 Md. R. 698)

Regulation .03C amended effective September 20, 2010 (37:19 Md. R. 1284)

Regulation .14 adopted as an emergency provision effective July 1, 2008 (35:17 Md. R. 1482); adopted permanently effective December 1, 2008 (35:24 Md. R. 2078)

Regulation .14-1 adopted effective April 15, 2013 (40:7 Md. R. 610)

Regulation .15 amended as an emergency provision effective July 1, 2008 (35:17 Md. R. 1482); amended permanently effective December 1, 2008 (35:24 Md. R. 2078)

Regulation .17 adopted as an emergency provision effective June 18, 2009 (36:15 Md. R. 1163); adopted permanently effective September 21, 2009 (36:19 Md. R. 1436)

Regulation .30 adopted as an emergency provision effective July 1, 2008 (35:17 Md. R. 1482); adopted permanently effective December 1, 2008 (35:24 Md. R. 2078)

Regulation .30-1 adopted effective April 15, 2013 (40:7 Md. R. 610)

Regulation .32F, G amended as an emergency provision effective July 1, 2008 (35:17 Md. R. 1482); amended permanently effective December 1, 2008 (35:24 Md. R. 2078)

Regulation .32H adopted as an emergency provision effective June 18, 2009 (36:15 Md. R. 1163); adopted permanently effective September 21, 2009 (36:19 Md. R. 1436)

Regulation .33A, C amended as an emergency provision effective July 1, 2008 (35:17 Md. R. 1482); amended permanently effective December 1, 2008 (35:24 Md. R. 2078)

Regulation .33C amended effective April 6, 2009 (36:7 Md. R. 524); February 8, 2010 (37:3 Md. R. 176); October 31, 2011 (38:22 Md. R. 1346); April 15, 2013 (40:7 Md. R. 610)

Regulation .33D adopted effective January 6, 2014 (40:26 Md. R. 2163)

Regulations .01—.37 repealed and new Regulations .01—.27 adopted effective April 28, 2014 (41:8 Md. R. 471)

Regulation .01 amended effective November 27, 2023 (50:23 Md. R. 1004)

Regulation .04A amended effective November 27, 2023 (50:23 Md. R. 1004); May 11, 2026 (53:9 Md. R. 413)

Regulation .04D adopted effective May 11, 2026 (53:9 Md. R. 413)

Regulation .10-1 adopted effective December 11, 2014 (41:24 Md. R. 1427)

Regulation .13 amended effective January 30, 2017 (44:2 Md. R. 84)

Regulation .14 amended effective January 30, 2017 (44:2 Md. R. 84); November 27, 2023 (50:23 Md. R. 1004)

Regulation .15A amended effective January 30, 2017 (44:2 Md. R. 84)

Regulation .16A amended effective January 30, 2017 (44:2 Md. R. 84)

Regulation .16E, F, G adopted effective November 27, 2023 (50:23 Md. R. 1004)

Regulation .17 amended effective January 30, 2017 (44:2 Md. R. 84)

Regulation .17D, E, F adopted effective November 27, 2023 (50:23 Md. R. 1004)

Regulation .18 amended effective January 30, 2017 (44:2 Md. R. 84)

Regulation .18-1 adopted effective December 11, 2014 (41:24 Md. R. 1427)

Regulation .18-1 amended effective January 30, 2017 (44:2 Md. R. 84)

Regulation .19 amended effective January 30, 2017 (44:2 Md. R. 84)

Regulation .21B amended effective December 11, 2014 (41:24 Md. R. 1427)

Regulation .21C adopted effective December 11, 2014 (41:24 Md. R. 1427)

Regulation .22A amended effective May 11, 2026 (53:9 Md. R. 413)

Regulation .22C amended effective July 4, 2016 (43:13 Md. R. 712); November 27, 2023 (50:23 Md. R. 1004); May 11, 2026 (53:9 Md. R. 413)

Regulation .22D amended effective January 30, 2017 (44:2 Md. R. 84); May 20, 2019 (46:10 Md. R. 486); November 27, 2023 (50:23 Md. R. 1004); May 11, 2026 (53:9 Md. R. 413)