Regulation .14-1 Covered Services — Intensive Therapeutic Integration Services.
Regulation .14-1 Covered Services — Intensive Therapeutic Integration Services.LinkCopy Citation
A.
Intensive therapeutic integration services under this regulation:
(1)
Are provided at a nonresidential setting separate from the home or facility where the participant lives;
(2)
Shall have an on-site direct care worker for every participant receiving one-to-one interventions for intensive therapeutic integration;
(3)
Shall include expressive therapies and therapeutic recreational activities;
(4)
Shall include the development of socialization skills, enhancement of self-esteem, and behavior management;
(5)
Are for participants who require one-to-one interventions and also have problems with socialization, isolation, hyperactivity, impulse control, and behavioral or other related disorders;
(6)
Are not solely educational or recreational in nature, but have a therapeutic habilitative orientation, as evidenced in written progress notes;
(7)
Shall be culturally competent and congruent with the participant’s cultural norms;
(8)
Shall assure coordination with the participant’s other service providers, service coordinator, and multidisciplinary team;
(9)
Shall be based on the participant’s individualized written treatment plan that identifies goals of the specific therapeutic activities provided;
(10)
Shall provide:
(a)
General therapeutic and therapeutic recreational services;
(b)
Behavioral management;
(c)
Planning for crises with the participant during a session;
(d)
Socialization groups; and
(e)
One or more of art, music, dance, or activity therapies, as appropriate for participants;
(11)
Shall have a supervisor who has been trained in accordance with Regulation .04E(3) of this chapter that:
(a)
Trains and provides ongoing supervision to the direct care worker rendering therapeutic integration services;
(b)
Supervises the direct care worker when crisis intervention services are rendered to evaluate the nature of the crisis and intervenes to reduce the likelihood of reoccurrence;
(c)
Plans and regularly reviews the participant’s therapeutic activities and behavior plan;
(d)
Meets regularly with the participant and family and observes the participant in the community setting;
(e)
Develops intervention on an individualized basis and identifies the interventions on an individualized treatment plan; and
(f)
Identifies, in the treatment plan, the goals and tasks that the intensive therapeutic integration direct care worker is implementing; and
(12)
Shall, when transportation is provided:
(a)
Have individualized goals for transportation for the participant on the participant’s treatment plan; and
(b)
Document the start and stop times transportation is provided for each day that a participant is transported.
B.
For dates of service before July 1, 2023, a unit of service is a 30-minute increment of service rendered to a participant by a qualified provider in the community setting.
C.
For dates of service on or after July 1, 2023, a unit of service is a 15-minute increment of service rendered to a participant by a qualified provider in the community setting.