COMAR 10.22.18.06. Requests For and Approval of Supplemental Services

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

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

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

(a) Recommendations from the individual's team,

(b) Documentation from appropriate professionals, and

(c) Other documentation the Administration requires; and

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

(a) Bids from vendors,

(b) Advertisements for the item, and

(c) Rates of a proposed vendor.

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

(1) The individual's income and expenses;

(2) The housing costs; and

(3) Efforts to obtain other State or federal assistance with housing costs.

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

(1) Consider the documentation submitted by the provider in this regulation;

(2) Consider the proposed cost for the service;

(3) If appropriate, visit the individual in the setting where the continuous supplemental services are to be provided; and

(4) Review the licensee's efforts to meet the individual's needs within existing resources.