1. A. In order for the Administration to reimburse a licensee for supplemental services, the Administration shall preauthorize the service and approve the cost.

2. B. To be approved for reimbursement of supplemental services, except housing, the licensee shall:

   1. (1) Submit a written request to the Administration justifying the request, including:

      1. (a) Recommendations from the individual's team,
      2. (b) Documentation from appropriate professionals, and
      3. (c) Other documentation the Administration requires; and

   2. (2) Justify the basis of the proposed costs and submit supporting documentation, such as:

      1. (a) Bids from vendors,
      2. (b) Advertisements for the item, and
      3. (c) Rates of a proposed vendor.

3. C. To be approved for reimbursement of supplemental housing costs, the licensee shall submit a written request to the Administration documenting:

   1. (1) The individual's income and expenses;
   2. (2) The housing costs; and
   3. (3) Efforts to obtain other State or federal assistance with housing costs.

4. D. In deciding whether to authorize supplemental services, the Administration shall:

   1. (1) Consider the documentation submitted by the provider in this regulation;
   2. (2) Consider the proposed cost for the service;
   3. (3) If appropriate, visit the individual in the setting where the continuous supplemental services are to be provided; and
   4. (4) Review the licensee's efforts to meet the individual's needs within existing resources.

Authority: Health-General Article, §§2-104(b), 7-306.1, 7-307, 7-714, 7-910(c), 15-105, 15-107, and 16-201,
Annotated Code of Maryland; Ch. 102, Acts of 2001

Effective date:

Regulations .01—.09 adopted as an emergency provision effective July 1, 2000 (27:15 Md. R. 1397); adopted permanently effective October 30, 2000 (27:21 Md. R. 1976)

Regulation .02B amended effective March 13, 2006 (33:5 Md. R. 520)

Regulation .03 amended as an emergency provision effective July 1, 2001 (28:15 Md. R. 1395); amended permanently effective October 1, 2001 (28:19 Md. R. 1684)

Regulation .03 amended as an emergency provision effective July 1, 2002 (29:15 Md. R. 1139); amended permanently effective October 14, 2002 (29:20 Md. R. 1588)

Regulation .03A amended as an emergency provision effective July 1, 2003 (30:14 Md. R. 934); amended permanently effective September 29, 2003 (30:19 Md. R. 1333)

Regulation .04 amended as an emergency provision effective July 1, 2001 (28:15 Md. R. 1395); amended permanently effective October 1, 2001 (28:19 Md. R. 1684)

Regulation .04 amended as an emergency provision effective July 1, 2002 (29:15 Md. R. 1139); amended permanently effective October 14, 2002 (29:20 Md. R. 1588)

Regulation .04 amended as an emergency provision effective July 1, 2003 (30:14 Md. R. 934); amended permanently effective September 29, 2003 (30:19 Md. R. 1333)

Regulation .04I, J, K amended effective December 20, 2004 (31:25 Md. R. 1790); March 13, 2006 (33:5 Md. R. 520); December 7, 2006 (33:24 Md. R. 1906); December 31, 2007 (34:26 Md. R. 2263); March 23, 2009 (36:6 Md. R. 491); October 4, 2010 (37:20 Md. R. 1394); April 15, 2013 (40:7 Md. R. 611); July 7, 2014 (41:13 Md. R. 752); October 12, 2015 (42:20 Md. R. 1265); April 9, 2018 (45:7 Md. R. 345); May 20, 2019 (46:10 Md. R. 488); October 5, 2020 (47:20 Md. R. 875)

Regulation .10 adopted effective March 13, 2006 (33:5 Md. R. 520)