<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".23" citation="COMAR 10.09.81.23" title_num="10" subtitle_num="09" chapter_num="81" heading="Covered Services — Family Training.">
  <paragraph num="A.">
    <text>Definitions.</text>
    <paragraph num="(1)">
      <text>“Family member” means an individual who:</text>
      <paragraph num="(a)">
        <text>Lives with or provides assistance to the participant; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is not paid to provide the care.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>“Unit of service” means an hour of service rendered by a qualified provider to one or more family members at the same time in the participant's home or the provider's office, regardless of the number of family members trained at one time, not including the time spent by the provider:</text>
      <paragraph num="(a)">
        <text>Planning, preparing, or setting up the training;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Following up after the training; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Traveling to and from the training.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Family training includes instruction about treatment regimens and the use of equipment specified in the plan of service.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The topics covered by family training shall be:</text>
    <paragraph num="(1)">
      <text>Specified in the participant's plan of service as necessary to safely maintain the participant at home;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Targeted to address the individualized needs of the participant; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Sensitive of the educational background, culture, and general environment of the family member.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Family training shall include updates in the plan of service as necessary to continue to safely maintain the individual at home.</text>
  </paragraph>
</regulation>