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<regulation prefix="Regulation" num=".08" citation="COMAR 10.09.89.08" title_num="10" subtitle_num="09" chapter_num="89" heading="General Conditions for 1915(i) Services Provider Participation.">
  <paragraph num="A.">
    <text>A provider of 1915(i) services shall:</text>
    <paragraph num="(1)">
      <text>Provide the documentation required by the Department for initial approval and provider recertification, or as requested by the Department;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Be approved by the Department as meeting the requirements of being able to provide the services set forth in this chapter;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Have a provider agreement in effect, to include adherence to quality assurance, auditing, and monitoring policies and procedures;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Receive training and certification as required and approved by the Department and determined to be appropriate for the level and scope of services provided;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Meet all the conditions for participation in COMAR 10.09.36 except as otherwise specified in this chapter;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Maintain general liability insurance, and provide proof of this insurance:</text>
      <paragraph num="(a)">
        <text>At the time of initial application to be a provider of 1915(i) services;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>At recertification; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Upon request by the Department;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>Make available to the Department and federal funding agents all records for inspection and copying, including but not limited to:</text>
      <paragraph num="(a)">
        <text>Personnel files for each individual employed, regardless of method of compensation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Financial records;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Treatment records; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Service records;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>Comply with the following prohibitions against utilization of staff:</text>
      <paragraph num="(a)">
        <text>Unless waived by the Department in accordance with §D of this regulation, prohibit from working with the participant or the participant’s family any staff, volunteers, students, or any individual who is:</text>
        <paragraph num="(i)">
          <text>Convicted of, received probation before judgment, or entered a plea of nolo contendere to a felony or a crime of moral turpitude or theft; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Has an indicated finding of child abuse or neglect; and</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>Maintain administrative and medical records documenting the date, time, duration, and substantive notes associated with the services delivered, which shall be signed by the provider and indicated by the participant’s plan of care.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Required Criminal Background Checks. The provider shall, at the provider’s own expense and for all staff, volunteers, students, and any individual providing services to participants and their families in the 1915(i):</text>
    <paragraph num="(1)">
      <text>Before employment, submit an application for a child care criminal history record check to the Criminal Justice Information System Central Repository, Department of Public Safety and Correctional Services (DPSCS), in accordance with Family Law Article, §5-561, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Request that DPSCS send the report to:</text>
      <paragraph num="(a)">
        <text>The director of the agency if the request is from a provider agency concerning staff, volunteers, students, or interns who will work with the participant or family; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>To the Department’s designee, if the provider is a self-employed, independent practitioner, or the director of the agency; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Review the results of the background checks;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Store background checks in a secure manner consistent with State and federal law; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Maintain written documentation in the individual’s personnel file that the director and all direct service provider staff including, but not limited to, volunteers, interns, and students, meet the criteria set forth in this regulation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Required Check for Abuse or Neglect. For each individual providing services to participants and the participant’s families in the 1915(i), the provider shall:</text>
    <paragraph num="(1)">
      <text>Before employing any individual, submit a notarized Consent for Release of Information/Background Clearance Request form to the Department of Human Services (DHS) or a local department of social services (DSS) in the jurisdiction in which the individual lives, pursuant to COMAR 07.02.07.19; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Request that DHS or the local DSS send the report to:</text>
      <paragraph num="(a)">
        <text>The director of the agency if the request is from a provider agency concerning staff, volunteers, or students who will work with the participant or family; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>To the Department’s designee, if the provider is a self-employed, independent practitioner, or the director of the agency.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>To provide 1915(i) services, an individual may not:</text>
    <paragraph num="(1)">
      <text>Be the participant’s family member;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Have been convicted of, received probation before judgment for, or entered a plea of nolo contendere to, a felony or any crime involving moral turpitude or theft, or have any other criminal history that indicates behavior which is potentially harmful to participants; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Be cited on any professional licensing or certification boards or any other registries with a determination of abuse, misappropriation of property, financial exploitation, or neglect.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Waiver of Employment Prohibitions. The Department may waive the prohibition against working with the participant or the participant’s family if the provider submits a request to the Department together with the following documentation that:</text>
    <paragraph num="(1)">
      <text>For criminal background checks:</text>
      <paragraph num="(a)">
        <text>The conviction, the probation before judgment, or plea of nolo contendere to the felony or the crime involving moral turpitude or theft was entered more than 10 years before the date of the employment application;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The criminal history does not indicate behavior that is potentially harmful to participants; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Includes a statement from the individual as to the reasons the prohibition should be waived; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>For abuse and neglect findings:</text>
      <paragraph num="(a)">
        <text>The indicated finding occurred more than 7 years before the date of the clearance request;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The summary of the indicated finding does not indicate behavior that is potentially harmful to the participant or the participant’s family; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Includes a statement from the individual as to the reasons the prohibition should be waived.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>The Program covers the services listed in this chapter when the services are:</text>
    <paragraph num="(1)">
      <text>Determined by the Department to be medically necessary;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Preauthorized by Department; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Delivered in accordance with the participant’s POC.</text>
    </paragraph>
  </paragraph>
</regulation>