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<regulation prefix="Regulation" num=".16" citation="COMAR 10.12.04.16" title_num="10" subtitle_num="12" chapter_num="04" heading="Program Components.">
  <paragraph num="A.">
    <text>Special Services.</text>
    <paragraph num="(1)">
      <text>The center shall provide or make arrangements for the services listed in §A(2)—(8) of this regulation when the center admits participants that require these services.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Diet Modifications. The center shall provide special diets and other diet modifications as ordered by the participant’s health care provider.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Rehabilitative Services. Rehabilitative services may include:</text>
      <paragraph num="(a)">
        <text>Physical therapy;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Occupational therapy; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Speech pathology provided directly, or indirectly, through arrangements with qualified personnel.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Social Services. A licensed social worker shall provide social work services to participants. If social and emotional needs are identified during the assessment that is required in Regulation .10 of this chapter, a licensed social worker shall be consulted before the establishment of goals to meet those needs.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Mental Health Services. When mental health needs are identified, the program shall seek consultation from a mental health professional authorized under the Health Occupations Article, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Services for the Developmentally Disabled. For individuals provided residential services through the Developmental Disabilities Administration, the center shall incorporate the individual plan (IP) in the development of the individual's plan of care and the activities plan.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Medical Consultation. The center may use specialists on a part-time or consultant basis in:</text>
      <paragraph num="(a)">
        <text>Psychiatry;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Physiatrics;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Orthopedics; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Other specialties according to the needs of the participants.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>Other Special Services. The center may provide the following services as needed:</text>
      <paragraph num="(a)">
        <text>Alcoholism counseling;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Podiatry;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Dentistry;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Nutrition counseling;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Health education; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Other services depending upon need.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Consultants.</text>
    <paragraph num="(1)">
      <text>Except as otherwise provided, when regular employment status, full-time or part-time, is not justified by the needs of the participants, the center may use consultants to meet the service and training needs of the center.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>When the center uses the services of a consultant, these services shall be specified in a written agreement that is signed and dated by the consultant and the center director.</text>
    </paragraph>
  </paragraph>
</regulation>