Current through Reg. 49, No. 38; September 20, 2024
(a) The ratio of
service providers of off-site individualized skills and socialization to
persons receiving services off-site must be:
(1) no higher than one service provider of
off-site individualized skills and socialization to eight individuals with an
LON 1 or an LON 5 without an enhanced staffing rate and other persons receiving
off-site individualized skills and socialization or a similar service
(1:8);
(2) no higher than one
service provider of off-site individualized skills and socialization to two
individuals with an LON 8 or an LON 6 and other persons receiving off-site
individualized skills and socialization or a similar service (1:2);
(3) no higher than one service provider of
off-site individualized skills and socialization to two individuals with an LON
1 or an LON 5 with the level one enhanced staffing rate and other persons
receiving off-site individualized skills and socialization or a similar service
(1:2);
(4) no higher than one
service provider of off-site individualized skills and socialization to one
individual with an LON 1, LON 5, LON 8, or LON 6 with the level two enhanced
staffing rate and other persons receiving off-site individualized skills and
socialization or a similar service (1:1); and
(5) no higher than one service provider of
off-site individualized skills and socialization to one individual with an LON
9 and other persons receiving off-site individualized skills and socialization
or a similar service (1:1).
(b) A ratio described in subsection (a) of
this section may include individuals with different LONs and other persons
receiving off-site individualized skills and socialization or a similar
service. If the ratio includes individuals with different LONs or other persons
receiving off-site individualized skills and socialization or a similar
service, the ratio must be one of the following, whichever is the lowest
staffing ratio:
(1) the staffing ratio for the
individual with highest level of need;
(2) the staffing ratio required by §
263.2017(a) of
this title (relating to Staffing Ratios for Off-Site Individualized Skills and
Socialization), if a person in the HCS Program is one of the persons
represented in the ratio; or
(3)
the staffing ratio required by §
260.507(a) of
this title (relating to Staffing Ratios), if a person in the DBMD Program is
one of the persons represented in the ratio.
(c) A service provider of off-site
individualized skills and socialization assigned to the individuals represented
in the staffing ratio required by subsection (a) of this section must provide
services only to the individuals and other persons represented in the
ratio.
