<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.21.29.04" title_num="10" subtitle_num="21" chapter_num="29" heading="Program Model.">
  <paragraph num="A.">
    <text>A provider of PRP services for minors shall:</text>
    <paragraph num="(1)">
      <text>Have a facility that:</text>
      <paragraph num="(a)">
        <text>Meets all relevant federal, State, or local ordinances, laws, regulations, and orders governing the program;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is not located in a private residence;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Is accessible to the public; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Contains a secure area where records, logs, and business information may be kept;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Prominently display the hours of operation of the facility;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Provide services at the PRP facility and at other locations according to the needs of the individuals served;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Assure that individuals receiving services have the choice to receive services on-site or at another suitable location; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Assure that program staff are available by telephone, on call, 24 hours per day, 7 days per week.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The program director shall organize program services and supports to:</text>
    <paragraph num="(1)">
      <text>Facilitate the development of a minor's independent living and social skills, including the minor's ability to make decisions about the minor's life and create opportunities for choice, to the degree that is age and developmentally appropriate, regarding:</text>
      <paragraph num="(a)">
        <text>Home;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>School or work; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Community; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Promote the use of community resources to integrate the minor into the community.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The program director shall ensure that:</text>
    <paragraph num="(1)">
      <text>Services are:</text>
      <paragraph num="(a)">
        <text>Appropriate to the age of the populations being served;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Offered at times suitable to the minors served;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Coordinated with other mental health services that the minor is receiving;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Goal directed;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Outcome focused;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Available as long as the minor meets medical necessity criteria for PRP services;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Based on a functional assessment of the minor across life domains;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Part of a total plan of care, which is directed at maintaining the minor in their home and preventing out-of-home placement;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Integrated with the minor's ITP; and</text>
      </paragraph>
      <paragraph num="(j)">
        <text>Designed to reduce functional behavioral impairments and restore and strengthen age-appropriate skills;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>If the PRP provides services to minors in a specific age group or with a particular clinical profile, the initiation of service criteria is consistent with the populations to be served;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>When the PRP provides services in a facility, the services shall be provided on a regular basis and include a variety of group and individual rehabilitation activities that incorporate individual rehabilitation goals; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>If the PRP provides services to both minors and adults, the program activities for minors are separate from program activities for adults, unless the adult receiving PRP services is a parent or caregiver of the minor.</text>
    </paragraph>
  </paragraph>
</regulation>