1. A. The Program covers an on-site environmental assessment and adaptations of a home or residence where the participant lives or will live as a participant.
2. B. An environmental assessment or adaptation may not be provided before the effective date of the participant’s enrollment in services.

3. C. The environmental assessment may be recommended by a multidisciplinary team in the plan of service for a participant when an environmental assessment is considered necessary to:

   1. (1) Ensure the health and safety of a participant with special environmental needs; and

   2. (2) Obtain additional professional advice from an occupational therapist about the:

      1. (a) Physical structure of a participant’s home or residence; and
      2. (b) Functional or mental limitations or disabilities of a participant as they relate to the environment.

4. D. Included in the environmental assessment, as necessary, may be:

   1. (1) An evaluation of the presence and likely progression of a disability or a chronic illness or condition in a participant;
   2. (2) Environmental factors in the facility or home;
   3. (3) The participant’s ability to perform activities of daily living;
   4. (4) The participant’s strength, range of motion, and endurance; and
   5. (5) The participant’s need for assistive devices and equipment.
5. E. Based on an inspection of the home and interviews with the participant and any individual requested by the participant, the provider shall complete a form, to be reviewed by the supports planner, which details the provider’s findings and recommendations, especially relating to a participant’s need for services.

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

Effective date: March 17, 2014 (41:5 Md. R. 343)

Regulation .01 amended effective April 11, 2016 (43:7 Md. R. 449)

Regulation .02B amended effective June 8, 2015 (42:11 Md. R. 724); April 11, 2016 (43:7 Md. R. 449); February 12, 2018 (45:3 Md. R. 156)

Regulation .03 amended effective June 8, 2015 (42:11 Md. R. 724); April 11, 2016 (43:7 Md. R. 449)

Regulation .04 amended effective June 8, 2015 (42:11 Md. R. 724)

Regulation .04A, B amended effective April 11, 2016 (43:7 Md. R. 449)

Regulation .05A amended effective February 12, 2018 (45:3 Md. R. 156)

Regulation .05A, B amended effective April 11, 2016 (43:7 Md. R. 449)

Regulation .05A, C amended effective June 8, 2015 (42:11 Md. R. 724)

Regulation .06 amended effective June 8, 2015 (42:11 Md. R. 724); November 9, 2015 (42:22 Md. R. 1377); April 11, 2016 (43:7 Md. R. 449)

Regulation .06A amended effective February 12, 2018 (45:3 Md. R. 156)

Regulation .07 amended effective June 8, 2015 (42:11 Md. R. 724); April 11, 2016 (43:7 Md. R. 449); February 12, 2018 (45:3 Md. R. 156)

Regulation .10D adopted effective February 12, 2018 (45:3 Md. R. 156)

Regulation .13 amended effective April 11, 2016 (43:7 Md. R. 449)

Regulation .14A amended effective January 30, 2017 (44:2 Md. R. 85)

Regulation .15 amended effective January 30, 2017 (44:2 Md. R. 85)

Regulation .15B amended effective February 12, 2018 (45:3 Md. R. 156)

Regulation .15B, C amended effective June 8, 2015 (42:11 Md. R. 724); April 11, 2016 (43:7 Md. R. 449)

Regulation .16 amended effective January 30, 2017 (44:2 Md. R. 85)

Regulation .17A amended effective January 30, 2017 (44:2 Md. R. 85)

Regulation .18 amended effective February 12, 2018 (45:3 Md. R. 156)

Regulation .18E adopted effective January 30, 2017 (44:2 Md. R. 85)

Regulation .19 amended effective February 12, 2018 (45:3 Md. R. 156)

Regulation .19A amended effective January 30, 2017 (44:2 Md. R. 85)

Regulation .20 amended effective April 11, 2016 (43:7 Md. R. 449); January 30, 2017 (44:2 Md. R. 85)

Regulation .20B amended effective June 8, 2015 (42:11 Md. R. 724)

Regulation .22B amended effective April 11, 2016 (43:7 Md. R. 449)

Regulation .23 amended effective April 11, 2016 (43:7 Md. R. 449)

Regulation .23B amended effective January 30, 2017 (44:2 Md. R. 85)

Regulation .23C amended effective June 8, 2015 (42:11 Md. R. 724); February 12, 2018 (45:3 Md. R. 156)

Regulation .23E, F adopted effective February 12, 2018 (45:3 Md. R. 156)

Regulation .23D adopted effective November 9, 2015 (42:22 Md. R. 1377)

Regulation .24 amended effective April 11, 2016 (43:7 Md. R. 449); January 30, 2017 (44:2 Md. R. 85); February 12, 2018 (45:3 Md. R. 156)

Regulation .24A, E amended effective June 8, 2015 (42:11 Md. R. 724)

Regulation .24F amended effective May 20, 2019 (46:10 Md. R. 486)

Regulation .27 amended effective June 8, 2015 (42:11 Md. R. 724)