S.B. 819

VETOES

15-132.

(a) (1) In this section the following terms have the meanings indicated.

(2)     "Assisted living program" has the meaning stated in § 19-1801 of this
article.

(3)     "Assisted living services" means services provided by an assisted
living program as defined in regulations adopted by the Department.

(4)     "Case management services" means services that assist waiver
eligible individuals in gaining access to needed waiver services and other needed
medical, social, housing, and other supportive services.

(5)     "DUAL ELIGIBILITY" MEANS SIMULTANEOUS ELIGIBILITY FOR
HEALTH INSURANCE COVERAGE UNDER BOTH THE PROGRAM AND MEDICARE AND
FOR WHICH THE DEPARTMENT MAY OBTAIN FEDERAL MATCHING FUNDS.

(6)     (I) "Environmental modifications" [has the meaning stated in
regulations adopted by the Department and includes those physical adaptations to
the home or residence which are necessary to ensure the health, welfare, and safety of
the individual or which enable the individual to function with greater independence
and without which, the individual would require admission to or continued stay in a
nursing facility] MEANS THE PHYSICAL ADAPTATIONS MADE TO AN INDIVIDUAL'S
HOME OR PLACE OF RESIDENCE TO ENSURE THE INDIVIDUAL'S HEALTH, WELFARE,
AND SAFETY, OR TO ENSURE THE INDIVIDUAL'S ABILITY TO FUNCTION WITH
GREATER INDEPENDENCE AND ACCESS IN THE RESIDENCE, AND THAT ARE;

1. APPROVED IN THE INDIVIDUAL'S PLAN OF CARE;

2. PREAUTHORIZED BY THE DEPARTMENT OF AGING;

3. APPROVED BY THE OWNER OF THE HOME OR BUILDING,
IF NOT THE INDIVIDUAL, WHO AGREES THAT THE INDIVIDUAL WILL BE ALLOWED TO
REMAIN IN THE RESIDENCE FOR AT LEAST 1 YEAR;

4. PROVIDED FOR A INDIVIDUAL WHO DOES NOT LIVE IN A
LICENSED ASSISTED LIVING FACILITY;

5. REQUIRED BECAUSE OF THE RESIDENCE'S PHYSICAL
STRUCTURE AND THE INDIVIDUAL'S SPECIAL FUNCTIONAL NEEDS; AND

6. REASONABLE AND NECESSARY TO PREVENT THE
INDIVIDUAL'S INSTITUTIONALIZATION OR HOSPITALIZATION.

(II) "ENVIRONMENTAL ACCESSIBILITY MODIFICATION" INCLUDES
THE COST, INSTALLATION, MAINTENANCE, AND REPAIR OF:

1. RAMPS;

2. GRAB BARS OR HANDRAILS;

3. STAIR GLIDES;

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