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 10.09.56.14-1 - Covered Services - Intensive Therapeutic Integration Services
Universal Citation: MD Code Reg 10.09.56.14-1
Current through Register Vol. 51, No. 19, September 20, 2024
A. Intensive therapeutic integration services under this regulation:
(1) Are provided at a nonresidential setting
separate from the home or facility where the participant lives;
(2) Shall have an on-site direct care worker
for every participant receiving one-to-one interventions for intensive
therapeutic integration;
(3) Shall
include expressive therapies and therapeutic recreational activities;
(4) Shall include the development of
socialization skills, enhancement of self-esteem, and behavior
management;
(5) Are for
participants who require one-to-one interventions and also have problems with
socialization, isolation, hyperactivity, impulse control, and behavioral or
other related disorders;
(6) Are
not solely educational or recreational in nature, but have a therapeutic
habilitative orientation, as evidenced in written progress notes;
(7) Shall be culturally competent and
congruent with the participant's cultural norms;
(8) Shall assure coordination with the
participant's other service providers, service coordinator, and
multidisciplinary team;
(9) Shall
be based on the participant's individualized written treatment plan that
identifies goals of the specific therapeutic activities provided;
(10) Shall provide:
(a) General therapeutic and therapeutic
recreational services;
(b)
Behavioral management;
(c) Planning
for crises with the participant during a session;
(d) Socialization groups; and
(e) One or more of art, music, dance, or
activity therapies, as appropriate for participants;
(11) Shall have a supervisor who has been
trained in accordance with Regulation . 04E(3) of this chapter that:
(a) Trains and provides ongoing supervision
to the direct care worker rendering therapeutic integration services;
(b) Supervises the direct care worker when
crisis intervention services are rendered to evaluate the nature of the crisis
and intervenes to reduce the likelihood of reoccurrence;
(c) Plans and regularly reviews the
participant's therapeutic activities and behavior plan;
(d) Meets regularly with the participant and
family and observes the participant in the community setting;
(e) Develops intervention on an
individualized basis and identifies the interventions on an individualized
treatment plan; and
(f) Identifies,
in the treatment plan, the goals and tasks that the intensive therapeutic
integration direct care worker is implementing; and
(12) Shall, when transportation is provided:
(a) Have individualized goals for
transportation for the participant on the participant's treatment plan;
and
(b) Document the start and stop
times transportation is provided for each day that a participant is
transported.
B. A unit of service is a 30-minute increment of service rendered to a participant by a qualified provider in the community setting.
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