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 - Covered Services - Therapeutic Integration Services
Universal Citation: MD Code Reg 10.09.56.14
Current through Register Vol. 51, No. 19, September 20, 2024
A. Therapeutic integration services under this regulation:
(1) Are provided at a nonresidential setting separate from the home or facility where the participant lives;
(2) Focus on expressive therapies and therapeutic recreational activities;
(3) Include as important components the development of socialization skills, enhancement of self-esteem, and behavior management;
(4) Are especially needed for participants who have problems with socialization, isolation, hyperactivity, impulse control, and behavioral or other related disorders;
(5) Are not solely educational or recreational in nature, but have a therapeutic habilitative orientation, as evidenced in written progress notes;
(6) Shall be culturally competent and congruent with the participant's cultural norms;
(7) May include individual or group counseling;
(8). Shall assure coordination with the participant's other service providers, service coordinator, and multidisciplinary team;
(9) Shall be guided by the participant's individualized treatment plan;
(10) Shall be based on an individualized written plan that identifies goals of the specific therapeutic activities provided;
(11) 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;
(12) 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; and
(e) Develops and identifies, on the individualized treatment plan, the goals, interventions, and tasks that the therapeutic integration direct care worker is implementing;
(13) 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. For dates of service before July 1, 2023, a unit of service is a 30-minute increment of service rendered to a participant by a qualified provider in the community setting.
C. For dates of service on or after July 1, 2023, a unit of service is a 15-minute increment of service rendered to a participant by a qualified provider in the community setting.
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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.