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 10.09.56.06-1 - Specific Conditions for Participation - Therapeutic Integration Services

Universal Citation: MD Code Reg 10.09.56.06-1

Current through Register Vol. 51, No. 19, September 20, 2024

To provide one or more of the services covered under Regulation . 14 of this chapter, the provider shall:

A. Have at least 3 years of experience in providing habilitation services to children with autism spectrum disorder or other developmental disabilities;

B. Employ a full-time program director to assure adequate coordination and supervision of the covered services, who shall:

(1) Hold a valid Maryland certificate as a special education supervisor, principal, or special educator, and have at least 3 years of successful teaching experience, as verified by former employers, in regular or special education, or both, as appropriate for the director's assignment; or

(2) Have at least 3 years of relevant experience with counseling or supervision, as appropriate for the director's assignment;

C. Employ direct care workers who meet provider qualifications in accordance with Regulation .04E of this chapter;

D. Have on site at least one direct care worker for every three participants on the waiver, with more staffing as necessary based on participants' needs;

E. Designate an on-site supervisor for the direct care workers who is:

(1) A licensed psychologist;

(2) A certified school psychologist;

(3) A certified special educator;

(4) A licensed certified social worker;

(5) A licensed professional counselor;

(6) A board-certified behavioral analyst;

(7) A licensed or certified as a music, art, drama, dance, or recreation therapist; or

(8) An individual with a master's or doctorate degree in special education or a related field and at least 5 years experience in providing training or consultation in the area of autism spectrum disorder or other developmental disabilities;

F. Employ or contract with certain professionals for consultation in accordance with Regulation .04G(1) and (2) of this chapter;

G. Have at least one professional on call at all times for crisis intervention in accordance with Regulation .04G(1) and (2) of this chapter;

H. Demonstrate the capability and capacity of providing therapeutic integration services by submitting documentation of experience and a written implementation plan which includes at a minimum policies and procedures regarding:

(1) Abuse, neglect, and exploitation;

(2) Positive behavior interventions and restraints;

(3) Implementation of treatment plans;

(4) Emergency backup plans;

(5) Transportation of participants;

(6) Maintenance of required documentation;

(7) Training and supervision of staff;

(8) Quality assurance; and

(9) HIPAA;

I. Provide documented evidence of services in the least restrictive environment in the community that is appropriate to a participant's needs;

J. Provide documented evidence of integration of the covered services with other community-based services received by participants;

K. Document arrangements to obtain medical services for participants in an emergency;

L. For initial approval and as a condition of occupancy of any facility used by the program:

(1) Submit written documentation from responsible agency or licensing authorities verifying that the facility is in compliance with applicable health, fire safety, and zoning regulations; and

(2) Allow an on-site review by the MSDE;

M. 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;

N. Provide the treatment plan to the participant's service coordinator within 30 calendar days of initiation of service and at least annually or more frequently if the treatment plan changes;

O. Maintain daily contact logs completed on the same day the service is provided and reflective of individual plan goals and activities; and

P. 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 therapeutic integration treatment plan.

Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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