<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.09.28.03" title_num="10" subtitle_num="09" chapter_num="28" heading="Participant Eligibility.">
  <paragraph num="A.">
    <text>A participant shall meet the eligibility conditions set forth in §B of this regulation.</text>
  </paragraph>
  <paragraph num="B.">
    <text>To qualify for ABA services, a participant shall:</text>
    <paragraph num="(1)">
      <text>Be younger than 21 years old;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Live in the community;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Be diagnosed with an ASD by a qualified health care professional;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Exhibit the presence of maladaptive behavior or developmental skills deficits that significantly interferes with home, school, or community activities;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Be medically stable and not require 24-hour medical or nursing monitoring or procedures provided in a hospital or an ICF-IID;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Have a comprehensive diagnostic evaluation by a qualified health care professional;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Be referred for ABA services by a licensed health care professional; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Have a completed ABA treatment plan that shall:</text>
      <paragraph num="(a)">
        <text>Be participant-centered and family-centered, culturally competent, and based on individualized goals;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Consider the participant's age, school attendance requirements, and other daily activities;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Be developed by:</text>
        <paragraph num="(i)">
          <text>A licensed psychologist; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>An LBA;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>Ensure that the interventions are consistent with ABA techniques;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Delineate both the frequency of baseline targeted behaviors and the behavior intervention plan to address the behaviors;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Identify long-term goals, short-term goals, and objectives that:</text>
        <paragraph num="(i)">
          <text>Are behaviorally defined;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Are customized to the participant;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Are measurable; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Are based upon clinical observations;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(g)">
        <text>Identify the methods that will be used to measure achievement of behavior goals, objectives, and estimated timeframes;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Identify the schedule of services planned, including number of hours per week and the providers responsible for delivering the services;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Include:</text>
        <paragraph num="(i)">
          <text>Care coordination involving the participant's parent or caregiver and other professionals as applicable;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Support and training of the participant's parent or caregiver;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>A plan for generalization; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Measurable discharge criteria.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>