Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.56 - Home and Community-Based Services Waiver for Children with Autism Spectrum Disorder
Section 10.09.56.05 - Specific Conditions for Participation - Residential Habilitation Services
Current through Register Vol. 51, No. 19, September 20, 2024
To provide the services covered under Regulation .11 of this chapter, the provider agency shall:
A. Provide services in a facility that meets the following requirements:
B. Have at least 3 years of experience in providing habilitation services to children who have autism spectrum disorder or other developmental disabilities;
C. Employ a full-time program director, to assure adequate coordination and supervision of the covered services, who has either:
D. Provide round-the-clock staffing which:
E. Have on call 24 hours a day a designated supervisor for the direct care workers, who:
F. Demonstrate the necessary staff capacity to provide intensive residential habilitation services when needed by participants;
G. Employ or contract with certain professionals who meet provider qualifications in accordance with Regulation .04G(1) and (2) of this chapter for consultation;
H. Have at least one professional on call 24 hours a day, 7 days a week for crisis intervention who meets provider qualifications in accordance with Regulation .04G(1) and (2) of this chapter;
I. Demonstrate the capability and capacity of providing Autism Waiver residential habilitation services by submitting documentation of experience and a written implementation plan which includes at a minimum policies and procedures regarding:
J. Assure the provision of services in the least restrictive environment in the community that is appropriate to participants' needs;
K. Provide documented evidence of integration of the residential habilitation program with other community-based services received by Autism Waiver participants;
L. Document arrangements for the provision of medical services needed by participants, including helping them to get to medical appointments and to obtain services in an emergency;
M. For initial approval and as a condition of occupancy of any facility used by the program, submit written documentation from responsible approval or licensing authorities verifying that the facility is in compliance with applicable health, fire safety, and zoning regulations;
N. For continued approval, maintain written documentation of compliance with applicable health, fire safety, and zoning regulations as a condition of occupancy of any facility used by the program;
O. Assure that the participant's needs are met for shelter, food, clothing, and furnishings;
P. Maintain daily contact logs completed on the same day the service is provided and reflective of the individual plan's goals and community-based activities from Regulation .11F of this chapter, and
Q. Maintain and make available for review by the State, documentation of the 6-month review and update of each participant's status relative to each goal in the residential habilitation individual plan.