Maryland Statutes
Subtitle 1 - Medical and Pharmacy Assistance Programs
Section 15-130 - Application for Home- or Community-Based Services Waiver for Seriously Emotionally Disturbed Youth or Autistic or Developmentally Disabled Youth in Order to Receive Federal Matching Funds

(a)    In this section, “seriously emotionally disturbed” means a condition that is:
        (1)    Manifest in an individual younger than 18 years or, if the individual is in a residential treatment center, younger than 21 years;
        (2)    Diagnosed according to the current diagnostic classification system that is recognized by the Secretary; and
        (3)    Characterized by a functional impairment that substantially interferes with or limits the child’s role or functioning in the family, school, or community activities.
    (b)    (1)    The Department shall apply to the Health Care Financing Administration of the federal Department of Health and Human Services for a home– and community–based services waiver under § 1915(c) of the federal Social Security Act in order to receive federal matching funds for services to seriously emotionally disturbed individuals who would otherwise require institutionalization in a residential treatment center.
        (2)    The Department shall apply to the Health Care Financing Administration of the federal Department of Health and Human Services for a home– and community–based services waiver under § 1915(c) of the federal Social Security Act in order to receive federal matching funds for services to autistic children aged 1 through 21 years who would otherwise require institutionalization in an institution for the developmentally disabled.
    (c)    In accordance with subsection (b)(1) and (2) of this section, the services to be provided for seriously emotionally disturbed individuals or autistic children may include:
        (1)    Respite services;
        (2)    Family training and education;
        (3)    Day treatment services;
        (4)    Therapeutic integration services;
        (5)    Intensive individual support services;
        (6)    Therapeutic living services;
        (7)    Intensive in–home intervention services; and
        (8)    Specialized case management services.
    (d)    The State matching funds required to cover the Medicaid costs under the waiver for autistic children shall be certified or otherwise provided by the Maryland State Department of Education, local school systems, and local lead agencies.
    (e)    The State matching funds required to cover the Medicaid costs under the waiver for seriously emotionally disturbed individuals shall be certified or otherwise provided by the Maryland State Department of Education, local school systems, local lead agencies, and the Behavioral Health Administration.

Structure Maryland Statutes

Maryland Statutes

Health - General

Title 15 - Assistance Programs

Subtitle 1 - Medical and Pharmacy Assistance Programs

Section 15-101 - Definitions

Section 15-101.1 - Applicability of Other Provisions to a Managed Care Organization

Section 15-102 - Indigent and Medically Indigent -- Preventive and Home Care Services; Educational Opportunities

Section 15-102.1 - Indigent and Medically Indigent -- Comprehensive System of Health Care

Section 15-102.2 - Applicability of Certain Provisions -- Claims of Subrogation

Section 15-102.3 - Applicability of Certain Provisions -- Examination of Financial Affairs and Status

Section 15-102.4 - Surplus Requirements

Section 15-102.5 - Mechanism to Provide for Equitable Distribution of Enrollees

Section 15-102.6 - Applicability of Other Provisions; Regulations

Section 15-102.7 - Applicability of Certain Premium Tax Provisions

Section 15-102.8 - Claims Processing Charge for Medicaid Claims Paid by Department to District of Columbia Hospitals

Section 15-103 - Medical Assistance Program

Section 15-103.1 - Promotion of Cost Effectiveness of State Health Care System

Section 15-103.2 - Rfps for Comparing Performance and Cost of Different Managed Care Dental Programs

Section 15-103.3 - Healthchoice Performance Incentive Fund

Section 15-103.4 - Credentialing of Health Care Providers

Section 15-103.5 - Rate Review and Comparison; Reports

Section 15-103.6 - Regulations to Ensure Parity of Specialty Mental Health and Substance Use Disorder Services With Federal Acts

Section 15-103.7 - Valued-Based Purchasing Program -- Collection of Penalties -- Total Amount of Incentives -- Distribution of Funding

Section 15-104 - Contracts With Department of Human Services

Section 15-105 - Reimbursement Procedures Under Program

Section 15-105.1 - Reimbursement Procedures Under Program -- Electronic Reimbursement

Section 15-105.2 - Reimbursement to Health Care Providers

Section 15-106 - Review of Health Care Under Program

Section 15-107 - Cost Reports of Program Participants

Section 15-108 - Field Verification of Program Participants

Section 15-109 - Eligibility; Admissibility of Long-Term Care Transaction Forms

Section 15-109.1 - Plan for Dissemination of Advance Directive Information

Section 15-109.2 - Benefits and Services for Incarcerated or Institutionalized Individuals.

Section 15-110 - Reimbursement -- Acute General and Chronic Care Hospitals

Section 15-111 - Reimbursement -- Day Care for the Elderly and Medically Handicapped Adults

Section 15-112 - Reimbursement -- Physicians

Section 15-113 - Reimbursement -- Public Institutions

Section 15-114 - Reimbursement -- Related Institutions

Section 15-114.1 - Emergency Service Transporters

Section 15-115 - Placement in Skilled or Intermediate Nursing Facility

Section 15-116 - Reimbursement -- Skilled Nursing Facilities

Section 15-117 - Reimbursement -- Reserved Beds

Section 15-118 - Drugs

Section 15-118.1 - Certain Prescribed Drugs Not Specialty Drugs

Section 15-120 - Subrogation Claims

Section 15-121 - Claims Against Estates

Section 15-121.1 - Subrogation of Department to Program Recipient's Claim Under 19-505 and 19-506 of the Insurance Article

Section 15-121.2 - Subrogation of Department to Program Recipient's Claim Under 19-509 and 19-510 of the Insurance Article

Section 15-121.3 - Assignment of Subrogation Right

Section 15-122 - Responsibility of Spouse Under Program

Section 15-122.1 - Certain Providers Excluded From Repaying Depreciation Allowance

Section 15-122.2 - Intercepting State Tax Refund for Converted Funds

Section 15-122.3 - Personal Needs Allowance -- Disabled Person With Guardian

Section 15-123 - Fraud

Section 15-124.2 - Maryland Medbank Program

Section 15-124.3 - Medicare Option Prescription Drug Program

Section 15-125 - Program for Children With Special Health Care Needs

Section 15-126 - Educational Programs for Handicapped Children

Section 15-128 - Reimbursement for Services Provided by Hospice Care Program

Section 15-129 - Durable Medical Equipment

Section 15-130 - Application for Home- or Community-Based Services Waiver for Seriously Emotionally Disturbed Youth or Autistic or Developmentally Disabled Youth in Order to Receive Federal Matching Funds

Section 15-130.1 - Psychiatric Residential Treatment Demonstration Waiver Application

Section 15-131 - Application for Home- or Community-Based Services Waiver for Federal Matching Funds for Services to Adults

Section 15-132 - Home and Community Based Services for Impaired Individuals; Medicaid Waiver

Section 15-132.1 - Voluntary Tax Withholding

Section 15-133 - Grants to Improve Home- and Community-Based Service Systems

Section 15-134 - Maryland Medical Assistance Program Waiver

Section 15-134.1 - Military Families

Section 15-135 - Home-Based and Community Services for Residents of Nursing Facilities

Section 15-136 - Maryland Pharmacy Access Hotline

Section 15-137 - Home-Based and Community Services for Residents of Nursing Facilities -- Denial of Access Prohibited

Section 15-138 - Employed Persons With Disabilities Program

Section 15-139 - Amendment of State Medical Assistance Program to Receive Federal Matching Funds

Section 15-140 - State Plan Amendment to the Family Planning Program

Section 15-141 - Pilot Program to Provide Limited Dental Coverage to Adult Maryland Medical Assistance Program Recipients

Section 15-141.1 - Collaborative Care Pilot Program

Section 15-141.2 - Telehealth Defined -- Pilot Program -- Outcome Data -- Reports Required

Section 15-142 - Fair Share Health Care Fund

Section 15-143 - Legal Immigrants -- Pregnant Women and Children

Section 15-145 - Information From and Liability of Health Insurance Carriers

Section 15-146 - Report -- Change to Medical Eligibility for Nursing Facility Level of Care

Section 15-147 - Former Officials or Employees -- Participation in Contracts

Section 15-148 - Prior Authorization Not Required for Contraceptive Drug or Devices

Section 15-149 - Application to Epsdt Services for Program Recipients -- Prohibition on Conditioning Reimbursement for Services on Presence or Availability of Parent or Caregiver -- Adoption of Regulations