Md. Code Regs. 10.21.25.10

Current through Register Vol. 51, No. 12, June 14, 2024

Section 10.21.25.10 - Fee Schedule - Services - Traumatic Brain Injury (TBI) Waiver Program

A. Residential Habilitation Services. The Department shall reimburse a program approved under COMAR 10.09.46 to provide residential habilitation services to an individual who is enrolled in the TBI Waiver Program:

(1) At the following rates:

(a) Level I ... $192.76 per day;

(b) Level II ... $255.24 per day;

(c) Level III ... $353.11 per day;

(2) According to the need for the level of support documented in an individual's waiver plan of care and approved by the Administration; and

(3) According to the institutional level of care determined by the Department's utilization control agent.

B. Day Habilitation Services. The Department shall reimburse a program approved under COMAR 10.09.46 to provide day habilitation services to an individual who is enrolled in the TBI Waiver Program:

(1) At the following rates:

(a) Level I ... $49.76 per day;

(b) Level II ... $86.81 per day;

(c) Level III ... $122.14 per day;

(2) According to the need for the level of support documented in an individual's waiver plan of care and approved by the Administration; and

(3) According to the institutional level of care determined by the Department's utilization control agent.

C. Supported Employment Services. The Department shall reimburse a program approved under COMAR 10.09.46 to provide supported employment services to an individual who is enrolled in the TBI Waiver Program:

(1) At the following rates:

(a) Level I ... $29.53 per day;

(b) Level II ... $49.76 per day;

(c) Level III ... $122.14 per day;

(2) According to the need for the level of support documented in an individual's waiver plan of care and approved by the Administration; and

(3) According to the institutional level of care determined by the Department's utilization control agent.

D. Individual Support Services. The Department shall reimburse a program approved under COMAR 10.09.46 to provide individual support services, as defined in COMAR 10.22.07, to an individual who is enrolled in the TBI Waiver Program at a rate of $24.14 per hour, not to exceed 8 hours per day.

Md. Code Regs. 10.21.25.10

Regulations .10, amended as an emergency provision effective July 1, 2008 (35:21 Md. R. 1822)
Regulations .10, amended as an emergency provision effective December 22, 2008 (36:2 Md. R. 97); amended permanently effective March 23, 2009 (36:6 Md. R. 491)
Regulation .10A, D amended as an emergency provision effective July 1, 2002 (29:24 Md. R. 1915); amended permanently effective December 23, 2002 (29:25 Md. R. 1982)