In order to be an informed consumer, it is important to understand the rules under which programs you may use operate and the standards to which service providers are held accountable. This section includes information on specific sections from the Code of Maryland Regulations (COMAR) that apply to the licensed providers discussed in the Independent Living section. The portions of the regulations of greatest interest to participants are identified below.
COMMUNITY-BASED HEALTH-RELATED SERVICES
Community Mental Health Services—Psychiatric Rehabilitation Programs
- COMAR
10.21.21.05 Eligibility, Screening, and Initiation of Service
This regulation specifies the eligibility and screening criteria for admission into a psychiatric rehabilitation program.
- Adult Medical Day Services
Information about these regulations is discussed in detail in the Adult Medical Day Centers section.
IN-HOME SERVICES
Home Health Care Agencies
- COMAR
10.09.04.04 Covered Services:
This section describes the specific services a home health care agency must provide, including skilled nursing services and the services of a home health aide, physical therapist, occupational therapist, speech-language pathologist and mental health professionals.
- COMAR
10.09.04.03 Conditions for Participation:
This regulation specifies the conditions under which an agency must operate to participate in Medicare.
- COMAR
10.07.10.10 Staff Supervision and Training:
This regulation specifies the mandatory supervision and training requirements for all home health care agency staff.
- COMAR
10.07.10.13 Patient's Bill of Rights:
This regulation requires that all patients, clients or designated representatives be given a written statement of the Patient's Bill of Rights. The regulation further specifies what information must be in the Bill of Rights.
- COMAR
10.07.10.15 Rehabilitation Services:
This regulation defines what types of rehabilitation therapy services must be available in order for a provider to state they offer a full array of physical rehabilitation services.
SPECIALIZED TRANSPORTATION PROGRAMS
Medical Assistance Transportation Program
- COMAR
10.09.19.04 Services to Recipients:
This regulation outlines the services that must be provided to recipients of the Medical Assistance Transportation Program. It includes detailed screening criteria to determine if there is a justifiable need for transportation.







