# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 56 — Home and Community-Based Services Waiver for Children with Autism Spectrum Disorder

#### Regulation .03 Care Planning Process.

*COMAR 10.09.56.03*

A. Multidisciplinary Team.

  (1) A multidisciplinary team shall be convened by the local school system or local lead agency in accordance with COMAR 10.09.52 to:

    (a) Assess or reassess an applicant's or participant's need and eligibility for Autism Waiver services;

    (b) Review the applicant's or participant's IEP or IFSP, as necessary; and

    (c) Develop or review, and revise as necessary, the applicant's or participant's Autism Waiver plan of care.

  (2) The multidisciplinary team shall include:

    (a) The applicant's or participant's service coordinator who shall attend at least one statewide Autism Waiver training session per year;

    (b) The applicant's or participant's parent or parents;

    (c) A chairman who is the official representative of the local school system or local lead agency;

    (d) Other appropriate professionals representing the local school system or local lead agency, as necessary and consistent with the Individuals with Disabilities Education Act (IDEA); and

    (e) Other service providers and individuals, as appropriate.

A-1. Risk Assessment.

  (1) Upon initial review, or if the participant's status changes, the service coordinator shall conduct a risk assessment to ensure the applicant can be safely maintained in a home and community-based setting utilizing Autism Waiver services.

  (2) A risk assessment shall be conducted by the service coordinator using the Autism Waiver Risk Assessment form.

B. A participant’s Autism Waiver plan of care or plan of care addendum:

  (1) Identifies the specific Autism Waiver services to be provided to the participant, as covered under this chapter;

  (2) Specifies for each identified Autism Waiver service the:

    (a) Description of the specific service to be provided;

    (b) Service start date;

    (c) Estimated duration;

    (d) Approved frequency and units of services to be delivered; and

    (e) Provider; and

  (3) Identifies medical conditions that require a written, signed emergency protocol.