Intensive therapeutic integration services under this regulation: Are provided at a nonresidential setting separate from the home or facility where the participant lives; Shall have an on-site direct care worker for every participant receiving one-to-one interventions for intensive therapeutic integration; Shall include expressive therapies and therapeutic recreational activities; Shall include the development of socialization skills, enhancement of self-esteem, and behavior management; 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; Are not solely educational or recreational in nature, but have a therapeutic habilitative orientation, as evidenced in written progress notes; Shall be culturally competent and congruent with the participant’s cultural norms; Shall assure coordination with the participant’s other service providers, service coordinator, and multidisciplinary team; Shall be based on the participant’s individualized written treatment plan that identifies goals of the specific therapeutic activities provided; Shall provide: General therapeutic and therapeutic recreational services; Behavioral management; Planning for crises with the participant during a session; Socialization groups; and One or more of art, music, dance, or activity therapies, as appropriate for participants; Shall have a supervisor who has been trained in accordance with Regulation .04E(3) of this chapter that: Trains and provides ongoing supervision to the direct care worker rendering therapeutic integration services; 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; Plans and regularly reviews the participant’s therapeutic activities and behavior plan; Meets regularly with the participant and family and observes the participant in the community setting; Develops intervention on an individualized basis and identifies the interventions on an individualized treatment plan; and Identifies, in the treatment plan, the goals and tasks that the intensive therapeutic integration direct care worker is implementing; and Shall, when transportation is provided: Have individualized goals for transportation for the participant on the participant’s treatment plan; and Document the start and stop times transportation is provided for each day that a participant is transported. 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. 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.