<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".14" citation="COMAR 10.09.56.14" title_num="10" subtitle_num="09" chapter_num="56" heading="Covered Services — Therapeutic Integration Services.">
  <paragraph num="A.">
    <text>Therapeutic integration services under this regulation:</text>
    <paragraph num="(1)">
      <text>Are provided at a nonresidential setting separate from the home or facility where the participant lives;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Focus on expressive therapies and therapeutic recreational activities;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Include as important components the development of socialization skills, enhancement of self-esteem, and behavior management;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Are especially needed for participants who have problems with socialization, isolation, hyperactivity, impulse control, and behavioral or other related disorders;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Are not solely educational or recreational in nature, but have a therapeutic habilitative orientation, as evidenced in written progress notes;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Shall be culturally competent and congruent with the participant's cultural norms;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>May include individual or group counseling;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Shall assure coordination with the participant's other service providers, service coordinator, and multidisciplinary team;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Shall be guided by the participant's individualized treatment plan;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Shall be based on an individualized written plan that identifies goals of the specific therapeutic activities provided;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Shall provide:</text>
      <paragraph num="(a)">
        <text>General therapeutic and therapeutic recreational services;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Behavioral management;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Planning for crises with the participant during a session;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Socialization groups; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>One or more of art, music, dance, or activity therapies, as appropriate for participants;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(12)">
      <text>Shall have a supervisor who has been trained in accordance with Regulation .04E(3) of this chapter that:</text>
      <paragraph num="(a)">
        <text>Trains and provides ongoing supervision to the direct care worker rendering therapeutic integration services;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>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;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Plans and regularly reviews the participant’s therapeutic activities and behavior plan;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Meets regularly with the participant and family and observes the participant in the community setting; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Develops and identifies, on the individualized treatment plan, the goals, interventions, and tasks that the therapeutic integration direct care worker is implementing;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(13)">
      <text>Shall, when transportation is provided:</text>
      <paragraph num="(a)">
        <text>Have individualized goals for transportation for the participant on the participant’s treatment plan; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Document the start and stop times transportation is provided for each day that a participant is transported;</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>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.</text>
  </paragraph>
  <paragraph num="C.">
    <text>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.</text>
  </paragraph>
</regulation>