Regulation .06-1 Specific Conditions for Participation — Therapeutic Integration Services.
Regulation .06-1 Specific Conditions for Participation — Therapeutic Integration Services.LinkCopy Citation
To provide one or more of the services covered under Regulation .14 of this chapter, the provider shall:
A.
Have at least 3 years of experience in providing habilitation services to children with autism spectrum disorder or other developmental disabilities;
B.
Employ a full-time program director to assure adequate coordination and supervision of the covered services, who shall:
(1)
Hold a valid Maryland certificate as a special education supervisor, principal, or special educator, and have at least 3 years of successful teaching experience, as verified by former employers, in regular or special education, or both, as appropriate for the director's assignment; or
(2)
Have at least 3 years of relevant experience with counseling or supervision, as appropriate for the director's assignment;
C.
Employ direct care workers who meet provider qualifications in accordance with Regulation .04E of this chapter;
D.
Have on site at least one direct care worker for every three participants on the waiver, with more staffing as necessary based on participants’ needs;
E.
Designate an on-site supervisor for the direct care workers who is:
(1)
A licensed psychologist;
(2)
A certified school psychologist;
(3)
A certified special educator;
(4)
A licensed certified social worker;
(5)
A licensed professional counselor;
(6)
A board-certified behavioral analyst;
(7)
A licensed or certified as a music, art, drama, dance, or recreation therapist; or
(8)
An individual with a master's or doctorate degree in special education or a related field and at least 5 years experience in providing training or consultation in the area of autism spectrum disorder or other developmental disabilities;
F.
Employ or contract with certain professionals for consultation in accordance with Regulation .04G(1) and (2) of this chapter;
G.
Have at least one professional on call at all times for crisis intervention in accordance with Regulation .04G(1) and (2) of this chapter;
H.
Demonstrate the capability and capacity of providing therapeutic integration services by submitting documentation of experience and a written implementation plan which includes at a minimum policies and procedures regarding:
(1)
Abuse, neglect, and exploitation;
(2)
Positive behavior interventions and restraints;
(3)
Implementation of treatment plans;
(4)
Emergency backup plans;
(5)
Transportation of participants;
(6)
Maintenance of required documentation;
(7)
Training and supervision of staff;
(8)
Quality assurance; and
(9)
HIPAA;
I.
Provide documented evidence of services in the least restrictive environment in the community that is appropriate to a participant's needs;
J.
Provide documented evidence of integration of the covered services with other community-based services received by participants;
K.
Document arrangements to obtain medical services for participants in an emergency;
L.
For initial approval and as a condition of occupancy of any facility used by the program:
(1)
Submit written documentation from responsible agency or licensing authorities verifying that the facility is in compliance with applicable health, fire safety, and zoning regulations; and
(2)
Allow an on-site review by the MSDE;
M.
For continued approval, maintain written documentation of compliance with applicable health, fire safety, and zoning regulations as a condition of occupancy of any facility used by the program;
N.
Provide the treatment plan to the participant's service coordinator within 30 calendar days of initiation of service and at least annually or more frequently if the treatment plan changes;
O.
Maintain daily contact logs completed on the same day the service is provided and reflective of individual plan goals and activities; and
P.
Maintain and make available for review by the State, documentation of the 6-month review and update of each participant’s status relative to each goal in the therapeutic integration treatment plan.