1. A. Definition. “Unit of service” means an hour of service rendered by a qualified individual during a home visit to a participant, not including:

   1. (1) The time spent on related activities before or after the home visit; or
   2. (2) The time spent on supervisory or consultative services to the provider.
2. B. A provider may bill for the length of a home visit to a participant, upon completion of the services specified in §D of this regulation.

3. C. Behavior consultation services may be preauthorized by a participant's plan of care as necessary and appropriate when:

   1. (1) A participant's behavior is:

      1. (a) Disruptive;
      2. (b) Potentially dangerous to the participant's or another person's health and functioning; or
      3. (c) Placing the participant at risk of institutionalization due to health and safety concerns; and
   2. (2) Advice is needed as to how to manage the disruptive behavior of a participant.

4. D. Behavior consultation services include a:

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

      1. (a) Evaluate a participant's acute behavior change;
      2. (b) Assess the situation;
      3. (c) Determine the contributing factors; and
      4. (d) Recommend interventions and treatments;
   2. (2) Written report prepared for review by the case manager and the assisted living services provider or the participant's family, which assesses the situation and makes recommendations; and

   3. (3) Verbal review of the report with the case manager and the assisted living services provider or the participant's family to discuss:

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

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

Effective date: June 11, 2012 (39:11 Md. R. 687)

Regulation .40C amended effective July 4, 2016 (43:13 Md. R. 712)

Regulation .41 amended effective July 4, 2016 (43:13 Md. R. 712)

Regulation .41 repealed effective December 11, 2025 (52:23 Md. R. 1198)

Regulation .41 adopted effective December 11, 2025 (52:23 Md. R. 1198)