Md. Code Regs. 10.09.56.06

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

Section 10.09.56.06 - Specific Conditions for Participation - Therapeutic Integration Services

To provide the service covered under Regulation .15 of this chapter, the provider shall:

A. Have at least 3 years of experience in providing habilitation services to children with autism;

B. Employ a full-time program director, to assure adequate coordination and supervision of the covered services, who shall either:

(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. Employ or contract with certain professionals for consultation as needed who meet provider qualifications in accordance with Regulation .04G(1) and (2) of this chapter;

E. Assure supervision of direct care workers by a:

(1) Licensed psychologist;

(2) Certified school psychologist;

(3) Certified special educator;

(4) Licensed certified social worker;

(5) Licensed professional counselor;

(6) Board Certified Behavioral Analyst; or

(7) Individual with a masters 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. Have at least one professional on call at all times for crisis intervention who meets provider qualifications in accordance with Regulation .04G(1) and (2) of this chapter;

G. Demonstrate the capability and capacity of providing intensive individual support 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;

H. Assure the provision of services in the least restrictive environment in the community that is appropriate to a participant's needs;

I. Provide documented evidence of integration of the covered services with other community-based services received by Autism Waiver participants;

J. Document arrangements to obtain medical services for participants in an emergency;

K. Provide the treatment plan to the participant's service coordinator within 30 calendar days of initiation of service, and at least annually thereafter, or more frequently if the treatment plan changes;

L. Document goals related to transportation and the participant's needs on the treatment plan when transportation will be provided;

M. Maintain daily contact logs completed on the same day the service is provided and reflective of treatment plan goals and activities; and

N. 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 intensive individual support services treatment plan.

Md. Code Regs. 10.09.56.06

Regulation .06 amended as an emergency provision effective October 1, 2004 (32:1 Md. R. 24); amended permanently effective April 25, 2005 (32:8 Md. R. 741)
Regulation .06E, M amended effective April 16, 2012 (39:7 Md. R. 492); amended effective 43:7 Md. R. 449, eff.4/11/2016