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 10.09.56.15 - Covered Services - Intensive Individual Support Services
Universal Citation: MD Code Reg 10.09.56.15
Current through Register Vol. 51, No. 19, September 20, 2024
A. Intensive individual support services:
(1) Are
intensive, one-on-one interventions with the participant provided by a direct
care worker;
(2) May be received by
the participant on a long-term basis;
(3) Are authorized in the participant's
Autism Waiver plan of care if the participant's behavior without this
intervention would require a more restrictive residential or treatment
setting;
(4) May be provided in the
participant's home or another setting except a residential or youth camp
facility;
(5) May be provided by
more than one direct care worker necessitating ongoing coordination between the
direct care workers;
(6) Are
goal-oriented and task-oriented, with interventions developed on an
individualized basis based on the participant's individualized treatment
plan;
(7) Use the home and
community environment as a learning experience and opportunity to illustrate
and model alternative ways for the participant to behave;
(8) Assist the participant in achieving
successful home and community living through structured support, reinforcement,
modeling, and behavior management, as evidenced in written progress
notes;
(9) 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;
(10) Are
intended to:
(a) Prevent or defuse
crises;
(b) Promote developmental
and social skills growth;
(c)
Provide the participant with behavior management skills;
(d) Give the participant a sense of security
and safety;
(e) Assist the
participant with maintaining self-sufficiency and impulse control;
(f) Improve the participant's positive
self-expression and interpersonal communication;
(g) Improve the participant's ability to
function and cooperate in the home and community;
(h) Reverse negative behaviors and attitudes;
and
(i) Foster stabilization;
and
(11) Include:
(a) One-on-one support, assistance,
oversight, and intervention;
(b)
Time-structuring activities;
(c)
Immediate behavioral reinforcements;
(d) Time-out strategies; and
(e) Crisis intervention techniques.
B. Direct care workers and supervisors rendering intensive individual support services shall collaborate with the participant's family, providers of other waiver services, and other professionals working with the participant in the home or other community settings, including the schools.
C. A professional who meets the provider qualifications of Regulation .04G(1)(a)-(f) of this chapter shall:
(1) Train and provide ongoing supervision to
the direct care worker rendering intensive individual support
services;
(2) Supervise the direct
care worker when crisis intervention services are rendered, to evaluate the
nature of the crisis and intervene as necessary to reduce the likelihood of
reoccurrence;
(3) Plan and
regularly review the participant's therapeutic activities and behavior
plans;
(4) Meet regularly with the
participant and family and observe the participant in the home
setting;
(5) Develop intervention
on an individualized basis and identify the interventions on an individualized
treatment plan; and
(6) Identify in
the treatment plan goals and tasks that the intensive individual support
services direct care worker is implementing.
D. A unit of service is a 30-minute increment of service rendered to a participant by a qualified provider in the participant's home or a 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.
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