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<regulation prefix="Regulation" num=".09" citation="COMAR 10.22.02.09" title_num="10" subtitle_num="22" chapter_num="02" heading="Program Service Plan (PSP).">
  <paragraph num="A.">
    <text>To receive a license from the Administration under this chapter, the applicant shall develop and submit for approval, as part of its application, a PSP for each service it provides.</text>
  </paragraph>
  <paragraph num="B.">
    <text>If the licensee makes a change in its PSP, the licensee shall submit its revised PSP for the Administration's approval before the implementation of the changes.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The administrative head of the licensee shall assure that the PSP is reviewed by its governing body and updated at least every 3 years.</text>
  </paragraph>
  <paragraph num="D.">
    <text>The licensee shall comply with all provisions of its approved PSP.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Contents. The licensee shall ensure the PSP includes the following components:</text>
    <paragraph num="(1)">
      <text>Rationale, which includes a discussion of the applicant's philosophy for the provision of services;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Scope, which includes a discussion of the specific services to be provided;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Staffing and training, which includes a description of the staff or care providers necessary to provide the services outlined in §E(2) of this regulation and a description of any additional training required by its staff other than provided in Regulation .11 of this chapter; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Setting and location, which includes a description of where the services are to be provided and the number of individuals expected to be served.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Innovative Program Service Plan Variance.</text>
    <paragraph num="(1)">
      <text>If an applicant or licensee wants to provide services or supports through an alternative model not currently regulated by this subtitle, the applicant or licensee may submit a PSP and request approval from the Administration to provide services or supports through this alternative model.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Administration shall consider whether the proposed model meets the overall goals of the Administration and reflects the values and outcomes delineated in COMAR 10.22.04.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The Administration may approve the proposed model, as proposed, or with conditions, including which regulatory requirements of this subtitle would apply.</text>
    </paragraph>
  </paragraph>
</regulation>