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
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:
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:
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:
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:
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.