Md. Code Regs. 10.09.56.17

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

Section 10.09.56.17 - Covered Services - Family Consultation

A. Family consultation shall be provided as specified in the family consultation plan, and:

(1) Shall be based on family-oriented goals to benefit the participant;

(2) Shall be provided to one family at a time;

(3) May not include advocacy regarding a participant's IEP; and

(4) May not include training and supervision of direct care workers.

B. A participant's family:

(1) Shall be trained by a qualified licensed or certified professional to provide intensive one-on-one interventions with the participant;

(2) May be instructed in the treatment regimens, behavior intervention and modeling, skills training, and use of equipment specified in the participant's Autism Waiver plan of care;

(3) Shall be provided with training updates as necessary to maintain the participant safely at home; and

(4) Shall be present to receive family consultation services.

C. Services.

(1) A participant's family shall receive in-person, individualized consultation when providing the habilitation services listed in §C(2)-(8) of this regulation, as necessary for the participant.

(2) Habilitation. The participant's family shall receive consultation to assist the participant to acquire, retain, or improve skills in a wide variety of areas that directly affect the participant's development and ability to reside as independently as possible, including communication skills.

(3) Self-Direction. The participant's family shall receive consultation to assist the participant in:

(a) Identifying and responding to dangerous or threatening situations;

(b) Making decisions and choices affecting the participant's life; and

(c) Initiating changes in living arrangements or life activities, as appropriate.

(4) Behavior Shaping and Management. The participant's family shall receive consultation to assist the participant with appropriate expression of emotions and desires, compliance, assertiveness, acquisition of socially appropriate behaviors, and the reduction of inappropriate behaviors.

(5) Daily Living Skills. The participant's family shall receive consultation to assist the participant, as appropriate, in:

(a) Dressing;

(b) Eating;

(c) Personal hygiene;

(d) Self-administration of medications;

(e) Proper use of appliances and adaptive or assistive devices;

(f) Home safety;

(g) First aid; and

(h) Emergency procedures.

(6) Socialization. The participant's family shall receive consultation which facilitates the participant's involvement in family and community activities and establishing relationships with siblings and peers, which may include:

(a) Assisting the participant to identify activities of interest;

(b) Arranging for participation in those activities; and

(c) Identifying specific interventions necessary to assist the participant's involvement in those activities on an ongoing basis.

(7) Mobility. The participant's family shall receive consultation to assist the participant with:

(a) Enhancing movement within the participant's living arrangement;

(b) Mastering the use of adaptive aids and equipment; and

(c) Accessing and using public transportation, independent travel, or other movement within the community.

(8) Money Management. The participant's family shall receive consultation to assist the participant with:

(a) Handling personal finances;

(b) Making purchases; and

(c) Meeting personal financial obligations.

D. Family consultation does not include activities that are not covered under §C of this regulation.

E. 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 participant's home or a community setting.

F.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 participant's home or a community setting.

Md. Code Regs. 10.09.56.17

Amended effective 43:7 Md. R. 449, eff.4/11/2016; amended effective 51:18 Md. R. 809, eff. 9/16/2024.