Md. Code Regs. 10.09.50.04

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.09.50.04 - Covered Services

A. The Program covers the services listed in §B of this regulation when the services are:

(1) Necessary to identify the need for a health-related service or health-related early intervention service that may be furnished as part of an IEP[J or an TFSP;

(2) Necessary to:

(a) Prevent disease, disability, and other health conditions or their progression, and

(b) Promote physical and mental health and efficiency;

(3) Necessary for the maximum reduction of physical or mental disability and restoration of a participant to the participant's best possible functional level;

(4) Rendered in accordance with accepted professional standards; and

(5) Delivered in accordance with an IEP or an IFSP, which is developed at the time of referral for health-related services or health-related early intervention services.

B. The following services are covered under this chapter:

(1) Audiology services delivered in accordance with an IEP or an IFSP, which include the identification, evaluation and treatment of auditory impairments;

(2) Nursing services delivered in accordance with an IEP or an IFSP, which:

(a) Are related to an identified health problem,

(b) Except for nursing assessments, are ordered by a licensed prescriber,

(c) Are indicated in the nursing care plan, which is reviewed at least every 60 days and more frequently when the child's medical condition changes, and

(d) Require the judgment, knowledge, and skills of a licensed nurse;

(3) Nutrition services which include conducting assessments of nutritional history and dietary intake and developing and monitoring appropriate plans to address a participant's nutritional needs in accordance with an IFSP;

(4) Occupational therapy services delivered in accordance with an IEP or an IFSP, which include any screening, evaluations, or treatments necessary to implement a program of activities, with the goal to develop or maintain the adaptive skills necessary to achieve a participant's adequate and appropriate physical and mental functioning;

(5) Physical therapy services delivered in accordance with an IEP or an IFSP, which include screening and evaluations necessary to determine a participant's level of functioning, as well as any treatment, which may use therapeutic exercises for the purpose of preventing, restoring, or alleviating a movement dysfunction and related functional problems;

(6) Psychological services delivered in accordance with an IEP or an IFSP, which include the evaluation, diagnosis, and treatment of emotional or behavioral problems in order for a participant to benefit from an educational or early intervention program including the counseling of parents and parent training when the participant is present;

(7) Speech-language pathology services delivered in accordance with an IEP or an IFSP, which include, diagnosis, evaluation, or treatment, and

(8) Therapeutic behavior services which:

(a) Includes one-to-one services by a trained therapeutic behavior aide delivered in accordance -with the IEP or IFSP; and

(b) Is supervised by a licensed physician or authorized practitioner under Health Occupations Article, Annotated Code of Maryland.

Md. Code Regs. 10.09.50.04

Regulations .04 adopted as an emergency provision effective February 2, 1993 (20:4 Md. R. 369); adopted permanently effective June 1, 1993 (20:10 Md. R. 852)
Regulations .04 amended as an emergency provision effective September 19, 1997 (24:21 Md. R. 1445); amended permanently effective December 29, 1997 (24:26 Md. R. 1759)
Regulations .04 amended effective June 25, 2001 (28:12 Md. R. 1106)
Regulations .04 amended as an emergency provision effective September 2, 1994 (21:20 Md. R. 1729); amended permanently effective December 19, 1994 (21:25 Md. R. 2105); amended effective 43:5 Md. R. 386, eff.3/14/2016