1. A. A participant shall:

   1. (1) Select, hire, train, supervise, terminate, and pay the attendant, including payment of applicable federal and State employment taxes;
   2. (2) Maintain accurate records of hours and days that attendant care services are provided;
   3. (3) Prepare and submit all billing forms in accordance with the Fiscal Payment Schedule;
   4. (4) Reimburse the Department for any overpayment;
   5. (5) Reimburse the Department for any outstanding advanced payment;
   6. (6) Submit all required documentation to determine continued eligibility for participation in the Program at least once every 12 months, or more often as requested by the Program Director; and
   7. (7) Comply with the attendant care agreement requirements, and provide a signed copy to the Department at the initial eligibility determination and at the request of the Department at any time thereafter.
2. B. A participant shall employ an attendant who is 18 years old or older, and who is not a spouse or the representative payee of the participant.
3. C. A participant shall notify the Program Director within 14 days of any changes in circumstances that affect eligibility for the Program for financial assistance

Authority: Human Services Article, §§7-401—7-406, Annotated Code of Maryland

Effective date: September 21, 2009 (36:19 Md. R. 1437)

Regulation .02B amended effective August 18, 2014 (41:16 Md. R. 947)

Regulation .03A, B amended effective August 18, 2014 (41:16 Md. R. 947)

Regulation .04C,D, E adopted effective August 18, 2014 (41:16 Md. R. 947)

Regulation .09A amended effective August 18, 2014 (41:16 Md. R. 947)

Regulation .13C amended effective August 18, 2014 (41:16 Md. R. 947)

Regulation .13D adopted effective August 18, 2014 (41:16 Md. R. 947)

Chapter revised effective August 18, 2025 (52:16 Md. R. 848)