<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".22" citation="COMAR 10.09.81.22" title_num="10" subtitle_num="09" chapter_num="81" heading="Covered Services — Participant Training.">
  <paragraph num="A.">
    <text>Definition. “Unit of service” means an hour of service rendered one-on-one by a qualified provider to a participant, not including the time spent by the provider:</text>
    <paragraph num="(1)">
      <text>Planning, preparing, or setting up the training;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Following up after the training; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Traveling to and from the training.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Participant training includes instruction and skill building in such areas as how to recruit, select, train, direct, supervise, and fire participant-employed attendants, money management, budgeting, independent living, meal planning, and other areas specified in the participant's plan of service.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The topics covered by participant training shall:</text>
    <paragraph num="(1)">
      <text>Be specified in the participant's plan of service as necessary to safely maintain the participant at home;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Be targeted to the individualized needs of the participant; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Be sensitive of the educational background, culture, and general environment of the participant.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Participant training shall include updates as necessary to maintain or improve skills, if these updates are in the plan of service.</text>
  </paragraph>
</regulation>