<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".10" citation="COMAR 10.09.89.10" title_num="10" subtitle_num="09" chapter_num="89" heading="Covered Services — Respite Services.">
  <text>Respite services:</text>
  <paragraph num="A.">
    <text>Include a set of specific short-term services documented in the POC that include:</text>
    <paragraph num="(1)">
      <text>A schedule of the participant's activities during respite;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Medication monitoring, if needed;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The frequency, duration, and intensity of staff support;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Respite locations; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The aftercare plan or recommendations;</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Include community-based respite services, which are provided in the participant's home or other community-based setting;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Include out-of-home respite services, which provide a temporary overnight living arrangement outside of the participant’s home; and</text>
  </paragraph>
  <paragraph num="D.">
    <text>Are provided by organizations that shall:</text>
    <paragraph num="(1)">
      <text>Meet the requirements of COMAR 10.63.03.15;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Employ respite care specialists who are:</text>
      <paragraph num="(a)">
        <text>21 years old or older and have a high school diploma or high school equivalency; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>At least 18 years old and enrolled in, or in possession of at least an associate degree from, an accredited college or university in a human services field, and are limited to providing services to participants under 13 years of age;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Ensure that community-based respite services are provided in the participant's home or other community-based setting; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Ensure that out-of-home respite services are:</text>
      <paragraph num="(a)">
        <text>Provided in a community-based temporary overnight living arrangement outside the participant's home; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Where applicable, delivered in accordance with COMAR 14.31.05—14.31.07.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>