<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04-1" citation="COMAR 10.09.52.04-1" title_num="10" subtitle_num="09" chapter_num="52" heading="Covered Services — Autism Waiver Service Coordination — General Requirements.">
  <paragraph num="A.">
    <text>Autism Waiver Service Coordination is intended to:</text>
    <paragraph num="(1)">
      <text>Assist a waiver participant in gaining access to the Autism Waiver services approved in the waiver participant's waiver plan of care;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Assure coordination of the waiver participant's Autism Waiver services with other services received by the waiver participant; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Assure that the waiver participant's full range of needs are adequately met, so as to assure the individual's:</text>
      <paragraph num="(a)">
        <text>Appropriate placement in the community;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Health and safety;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Quality of care; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Access to authorized, necessary services.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Waiver Service Coordinator. A waiver service coordinator employed by a provider shall assist with meeting the provider’s responsibilities specified in this regulation and Regulation .04-2 of this chapter.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Waiver Multidisciplinary Team. A waiver multidisciplinary team:</text>
    <paragraph num="(1)">
      <text>Shall be convened by the local lead agency or local school system to:</text>
      <paragraph num="(a)">
        <text>Assess or reassess a waiver applicant's or waiver participant's need and eligibility for Autism Waiver services; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Develop or review the waiver participant's waiver plan of care; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Shall include:</text>
      <paragraph num="(a)">
        <text>The waiver participant's service coordinator;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The waiver applicant's or waiver participant's parent or parents;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A chairman who is the official representative of the local lead agency or local school system; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Other service providers and individuals, as appropriate.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Waiver Plan of Care.</text>
    <paragraph num="(1)">
      <text>A waiver participant's waiver plan of care is:</text>
      <paragraph num="(a)">
        <text>Initially developed on admission to the Autism Waiver;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Reviewed at least every 12 months; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Revised as necessary by a waiver multidisciplinary team convened by the waiver participant's service coordinator.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A waiver participant’s waiver plan of care shall be submitted to MSDE before implementation.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Any revisions or additions to a waiver participant’s waiver plan of care shall be submitted to MSDE before implementation.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>A waiver participant’s Autism Waiver service coordinator may make minor changes to the waiver participant’s waiver plan of care without reconvening the waiver multidisciplinary team, if the change is approved by the waiver participant’s parent or parents, and MSDE is notified.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A waiver participant’s initial or revised waiver plan of care shall include the:</text>
      <paragraph num="(a)">
        <text>Identification of Autism Waiver service or services to be delivered;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Service start date;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Service stop date;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Approved amount of services to be delivered; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Provider or providers.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Three types of Autism Waiver Service Coordination shall be provided, at times concurrently;</text>
    <paragraph num="(1)">
      <text>Waiver initial assessment;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Waiver ongoing service coordination; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Waiver reassessment.</text>
    </paragraph>
  </paragraph>
</regulation>