<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".17" citation="COMAR 10.09.56.17" title_num="10" subtitle_num="09" chapter_num="56" heading="Covered Services — Family Consultation.">
  <paragraph num="A.">
    <text>Family consultation shall be provided as specified in the family consultation plan, and:</text>
    <paragraph num="(1)">
      <text>Shall be based on family-oriented goals to benefit the participant;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Shall be provided to one family at a time;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>May not include advocacy regarding a participant's IEP; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>May not include training and supervision of direct care workers.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A participant's family:</text>
    <paragraph num="(1)">
      <text>Shall be trained by a qualified licensed or certified professional to provide intensive one-on-one interventions with the participant;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>May be instructed in the treatment regimens, behavior intervention and modeling, skills training, and use of equipment specified in the participant's Autism Waiver plan of care;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Shall be provided with training updates as necessary to maintain the participant safely at home; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Shall be present to receive family consultation services.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Services.</text>
    <paragraph num="(1)">
      <text>A participant’s family shall receive in-person, individualized consultation when providing the habilitation services listed in §C(2)—(8) of this regulation, as necessary for the participant.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Habilitation. The participant’s family shall receive consultation to assist the participant to acquire, retain, or improve skills in a wide variety of areas that directly affect the participant’s development and ability to reside as independently as possible, including communication skills.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Self-Direction. The participant’s family shall receive consultation to assist the participant in:</text>
      <paragraph num="(a)">
        <text>Identifying and responding to dangerous or threatening situations;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Making decisions and choices affecting the participant's life; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Initiating changes in living arrangements or life activities, as appropriate.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Behavior Shaping and Management. The participant’s family shall receive consultation to assist the participant with appropriate expression of emotions and desires, compliance, assertiveness, acquisition of socially appropriate behaviors, and the reduction of inappropriate behaviors.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Daily Living Skills. The participant’s family shall receive consultation to assist the participant, as appropriate, in:</text>
      <paragraph num="(a)">
        <text>Dressing;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Eating;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Personal hygiene;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Self-administration of medications;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Proper use of appliances and adaptive or assistive devices;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Home safety;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>First aid; and</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Emergency procedures.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>Socialization. The participant’s family shall receive consultation which facilitates the participant’s involvement in family and community activities and establishing relationships with siblings and peers, which may include:</text>
      <paragraph num="(a)">
        <text>Assisting the participant to identify activities of interest;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Arranging for participation in those activities; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Identifying specific interventions necessary to assist the participant’s involvement in those activities on an ongoing basis.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>Mobility. The participant’s family shall receive consultation to assist the participant with:</text>
      <paragraph num="(a)">
        <text>Enhancing movement within the participant's living arrangement;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Mastering the use of adaptive aids and equipment; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Accessing and using public transportation, independent travel, or other movement within the community.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>Money Management. The participant’s family shall receive consultation to assist the participant with:</text>
      <paragraph num="(a)">
        <text>Handling personal finances;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Making purchases; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Meeting personal financial obligations.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Family consultation does not include activities that are not covered under §C of this regulation.</text>
  </paragraph>
  <paragraph num="E.">
    <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 participant’s home or a community setting.</text>
  </paragraph>
  <paragraph num="F.">
    <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 participant’s home or a community setting.</text>
  </paragraph>
</regulation>