1. A. The Program Director shall establish a sliding reimbursement scale to determine a participant's reimbursement rate.

2. B. The participant's reimbursement rate shall be based on:

   1. (1) The participant's adjusted annual gross income;
   2. (2) The number of persons dependent on household income including the participant's spouse, and minors younger than 18 years old; and
   3. (3) The participant's cost of attendant care services.
3. C. A participant eligible in the category set forth in Regulation .04B(1) of this chapter shall pay a minimum of 2 percent of the cost of attendant care services, unless the Program Director determines that the minimum copayment causes the participant financial hardship and issues a written waiver of the copayment.
4. D. A participant eligible in the category set forth in Regulation .04B(2) of this chapter shall pay a minimum of 5 percent of the cost of attendant care services, unless the Program Director determines that the minimum copayment causes the participant financial hardship and issues a written waiver of the copayment.

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)