Md. Code Regs. 10.09.56.06-1

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.09.56.06-1 - Specific Conditions for Participation - Therapeutic Integration Services

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:

(1) Hold a valid Maryland certificate as a special education supervisor, principal, or special educator, and have at least 3 years of successful teaching experience, as verified by former employers, in regular or special education, or both, as appropriate for the director's assignment; or

(2) Have at least 3 years of relevant experience with counseling or supervision, as appropriate for the director's assignment;

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:

(1) A licensed psychologist;

(2) A certified school psychologist;

(3) A certified special educator;

(4) A licensed certified social worker;

(5) A licensed professional counselor;

(6) A board-certified behavioral analyst;

(7) A licensed or certified as a music, art, drama, dance, or recreation therapist; or

(8) An individual with a master's or doctorate degree in special education or a related field and at least 5 years experience in providing training or consultation in the area of autism spectrum disorder or other developmental disabilities;

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:

(1) Abuse, neglect, and exploitation;

(2) Positive behavior interventions and restraints;

(3) Implementation of treatment plans;

(4) Emergency backup plans;

(5) Transportation of participants;

(6) Maintenance of required documentation;

(7) Training and supervision of staff;

(8) Quality assurance; and

(9) HIPAA;

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:

(1) Submit written documentation from responsible agency or licensing authorities verifying that the facility is in compliance with applicable health, fire safety, and zoning regulations; and

(2) Allow an on-site review by the MSDE;

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.

Md. Code Regs. 10.09.56.06-1

Regulation .06-1P amended effective April 16, 2012 (39:7 Md. R. 492); amended effective 43:7 Md. R. 449, eff.4/11/2016