<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.09.56.06" title_num="10" subtitle_num="09" chapter_num="56" heading="Specific Conditions for Participation — Intensive Individual Support Services.">
  <text>To provide the service covered under Regulation .15 of this chapter, the provider shall:</text>
  <paragraph num="A.">
    <text>Have at least 3 years of experience in providing habilitation services to children with autism;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Employ a full-time program director, to assure adequate coordination and supervision of the covered services, who shall either:</text>
    <paragraph num="(1)">
      <text>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</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Have at least 3 years of relevant experience with counseling or supervision, as appropriate for the director's assignment;</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Employ direct care workers who meet provider qualifications in accordance with Regulation .04E of this chapter;</text>
  </paragraph>
  <paragraph num="D.">
    <text>Employ or contract with certain professionals for consultation as needed who meet provider qualifications in accordance with Regulation .04G(1) and (2) of this chapter;</text>
  </paragraph>
  <paragraph num="E.">
    <text>Assure supervision of direct care workers by a:</text>
    <paragraph num="(1)">
      <text>Licensed psychologist;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Certified school psychologist;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Certified special educator;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Licensed certified social worker;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Licensed professional counselor;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Board Certified Behavioral Analyst; or</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Individual with a masters 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;</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Have at least one professional on call at all times for crisis intervention who meets provider qualifications in accordance with Regulation .04G(1) and (2) of this chapter;</text>
  </paragraph>
  <paragraph num="G.">
    <text>Demonstrate the capability and capacity of providing intensive individual support services by submitting documentation of experience and a written implementation plan which includes at a minimum policies and procedures regarding:</text>
    <paragraph num="(1)">
      <text>Abuse, neglect, and exploitation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Positive behavior interventions and restraints;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Implementation of treatment plans:</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Emergency backup plans;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Transportation of participants;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Maintenance of required documentation;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Training and supervision of staff;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Quality assurance; and</text>
    </paragraph>
    <paragraph num="(9)">
      <text>HIPAA;</text>
    </paragraph>
  </paragraph>
  <paragraph num="H.">
    <text>Assure the provision of services in the least restrictive environment in the community that is appropriate to a participant's needs;</text>
  </paragraph>
  <paragraph num="I.">
    <text>Provide documented evidence of integration of the covered services with other community-based services received by Autism Waiver participants;</text>
  </paragraph>
  <paragraph num="J.">
    <text>Document arrangements to obtain medical services for participants in an emergency;</text>
  </paragraph>
  <paragraph num="K.">
    <text>Provide the treatment plan to the participant's service coordinator within 30 calendar days of initiation of service, and at least annually thereafter, or more frequently if the treatment plan changes;</text>
  </paragraph>
  <paragraph num="L.">
    <text>Document goals related to transportation and the participant’s needs on the treatment plan when transportation will be provided;</text>
  </paragraph>
  <paragraph num="M.">
    <text>Maintain daily contact logs completed on the same day the service is provided and reflective of treatment plan goals and activities; and</text>
  </paragraph>
  <paragraph num="N.">
    <text>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 intensive individual support services treatment plan.</text>
  </paragraph>
</regulation>