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<regulation prefix="Regulation" num=".03-1" citation="COMAR 10.09.52.03-1" title_num="10" subtitle_num="09" chapter_num="52" heading="Conditions for Participation for Autism Waiver Service Coordination Providers.">
  <paragraph num="A.">
    <text>General requirements for participation in the Program are that a provider shall:</text>
    <paragraph num="(1)">
      <text>Meet all the conditions for participation as set forth in COMAR 10.09.36; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If delivering services via telehealth, comply with COMAR 10.09.49 and any subregulatory guidance issued by the Department.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Specific requirements for participation in the Program as a provider of Autism Waiver Service Coordination are that a provider shall:</text>
    <paragraph num="(1)">
      <text>Be an agency within the State that employs or has under contract qualified personnel who convene or participate on waiver multidisciplinary teams as necessary, develop participant’s waiver plans of care, and provide service coordination services for waiver participants;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Designate specific, qualified individuals as Autism Wavier service coordinators and verify their credentials for providing the services covered under this chapter;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Convene or participate on a waiver multidisciplinary team or teams for waiver participants, in accordance with the requirements of COMAR 10.09.56 and this chapter;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Be knowledgeable of the eligibility requirements and application procedures of federal, State, and local government assistance programs that are applicable to participants; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Maintain a file on each participant that meets the Program’s requirements and includes the waiver participant’s:</text>
      <paragraph num="(a)">
        <text>Technical eligibility form approved by MSDE, reviewed and signed at least annually;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Determination of eligibility for level of care in an intermediate care facility for the intellectually disabled and persons with related conditions (ICF/IID) — initial determination and redetermination, at least annually;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Autism Waiver Risk Assessment pursuant to 10.09.56;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Consent Form for Autism Waiver Services, signed before Autism Waiver enrollment and annually thereafter;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Form for determination of Medicaid eligibility for Autism Waiver services — initial determination and redetermination, at least annually;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Initial waiver plan of care, reviewed at least annually, and any plan revisions;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Parental Rights and Responsibilities form reviewed and signed at least annually;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Preauthorization by MSDE of any environmental accessibility adaptations reimbursed through the Autism Waiver, if applicable;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Reportable Event forms concerning the waiver participant, if applicable;</text>
      </paragraph>
      <paragraph num="(j)">
        <text>Record of ongoing Autism Wavier service coordination encounters, including:</text>
        <paragraph num="(i)">
          <text>A description of the service;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The location of the service;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Date of contact and name of the parent/guardian or participant;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Type of contact;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Supportive documentation of the service; and</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>The Autism Wavier service coordinator’s printed name and signature;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(k)">
        <text>Monthly tracking logs with Technical Eligibility Exemption Request Forms as applicable; and</text>
      </paragraph>
      <paragraph num="(l)">
        <text>A copy of the treatment plans for each applicable service provided or Reportable Event form, as applicable, if a treatment plan was not submitted.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Autism Waiver Service Coordinator Requirements.</text>
    <paragraph num="(1)">
      <text>An Autism Waiver service coordinator shall:</text>
      <paragraph num="(a)">
        <text>Be employed by or under contract with a provider;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Be approved by the participant’s parent or parents;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Participate with the waiver multidisciplinary team in the development, or revision, of a participant’s waiver plan of care and in the waiver plan of care review;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Assist the participant in gaining access to the services recommended in the waiver plan of care; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>An Autism Waiver service coordinator who is chosen to provide services for a waiver participant shall have at least:</text>
      <paragraph num="(a)">
        <text>1 year of relevant training or experience; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A bachelor’s degree.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>An Autism Waiver service coordinator shall complete at least 5 hours of training on the Autism Waiver, offered by the Department and MSDE, prior to rendering Autism Waiver service coordination in accordance with Regulations .04-1 and .04-2 of this chapter.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Autism Waiver service coordinators shall attend one Statewide training for Autism Waiver service coordinators per fiscal year.</text>
    </paragraph>
  </paragraph>
</regulation>