<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.09.56.03" title_num="10" subtitle_num="09" chapter_num="56" heading="Care Planning Process.">
  <paragraph num="A.">
    <text>Multidisciplinary Team.</text>
    <paragraph num="(1)">
      <text>A multidisciplinary team shall be convened by the local school system or local lead agency in accordance with COMAR 10.09.52 to:</text>
      <paragraph num="(a)">
        <text>Assess or reassess an applicant's or participant's need and eligibility for Autism Waiver services;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Review the applicant's or participant's IEP or IFSP, as necessary; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Develop or review, and revise as necessary, the applicant's or participant's Autism Waiver plan of care.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The multidisciplinary team shall include:</text>
      <paragraph num="(a)">
        <text>The applicant's or participant's service coordinator who shall attend at least one statewide Autism Waiver training session per year;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The applicant's or participant's parent or parents;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A chairman who is the official representative of the local school system or local lead agency;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>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</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Other service providers and individuals, as appropriate.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="A-1.">
    <text>Risk Assessment.</text>
    <paragraph num="(1)">
      <text>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.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A risk assessment shall be conducted by the service coordinator using the Autism Waiver Risk Assessment form.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A participant’s Autism Waiver plan of care or plan of care addendum:</text>
    <paragraph num="(1)">
      <text>Identifies the specific Autism Waiver services to be provided to the participant, as covered under this chapter;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Specifies for each identified Autism Waiver service the:</text>
      <paragraph num="(a)">
        <text>Description of the specific service to be provided;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Service start date;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Estimated duration;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Approved frequency and units of services to be delivered; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Provider; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Identifies medical conditions that require a written, signed emergency protocol.</text>
    </paragraph>
  </paragraph>
</regulation>