<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 10.09.34.02" title_num="10" subtitle_num="09" chapter_num="34" heading="Conditions for Provider Participation.">
  <paragraph num="A.">
    <text>A therapeutic behavioral service provider shall:</text>
    <paragraph num="(1)">
      <text>Ensure that therapeutic behavioral aides are trained and supervised in:</text>
      <paragraph num="(a)">
        <text>Principles of behavior change and childhood development;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Clinically accepted techniques for decreasing or eliminating maladaptive behaviors;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Implementing a behavioral plan;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Identifying the needs and characteristics of the participant; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Documenting interventions and outcomes;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>If the therapeutic aide is not licensed or certified by a health practice licensure board to practice independently, ensure that a licensed healthcare practitioner shall:</text>
      <paragraph num="(a)">
        <text>Meet at least once every 2 weeks with the aide and review the progress and develop a plan of care for each participant assigned to the aide; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>At least once a month, observe the participant’s progress and needs with the participant’s parent or guardian; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Provide a written progress note that is completed for each time period that a therapeutic behavioral aide spends with the participant and includes:</text>
      <paragraph num="(a)">
        <text>The location, date, start time, and end time of the service;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The name of the parent, guardian, or individual who customarily provides care present during the service;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A brief description of the service provided, including reference to the behavioral plan;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A description of the participant’s behaviors or symptoms; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The signature of the behavioral aide.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>General requirements for provider participation in the Program are set forth in COMAR 10.09.36.</text>
  </paragraph>
</regulation>