<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12" citation="COMAR 10.58.16.12" title_num="10" subtitle_num="58" chapter_num="16" heading="Delivery of Service Model.">
  <paragraph num="A.">
    <text>The provision of behavior analytic services may take one of three forms:</text>
    <paragraph num="(1)">
      <text>A tiered-service delivery model;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A direct service model; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A consultative model.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Unless a consultation agreement described in §E of this regulation exists, a licensed behavior analyst shall be ultimately responsible for the design and implementation of behavior analytic services that are in the best interest of the client, under the licensed behavior analyst’s supervision.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Tiered Service Delivery Model.</text>
    <paragraph num="(1)">
      <text>A licensed behavior analyst may utilize the services of supervisees to deliver behavior analysis services to clients, provided the licensed behavior analyst does so in accordance with this regulation and requirements set by the Behavior Analyst Certification Board.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Under a tiered delivery service model:</text>
      <paragraph num="(a)">
        <text>A licensed behavior analyst and a supervisee shall comply with the supervision responsibilities specified in Regulation .13 of this chapter and requirements set by the Behavior Analyst Certification Board;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A licensed behavior analyst shall be responsible for all aspects of clinical direction, supervision, and case management, including activities of supervisees;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A supervisee shall deliver assessment and treatment protocols as directed by and under the close and ongoing supervision of a licensed behavior analyst; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The licensed behavior analyst may delegate responsibilities to supervisees only if, in the judgment of the licensed behavior analyst:</text>
        <paragraph num="(i)">
          <text>The task or procedures can be properly and safely performed by the supervisee;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Delegation does not jeopardize the health or safety of the client; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>The delegation is in accordance with the current supervision requirements of the Behavior Analyst Certification Board or successor organization.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Direct Delivery Service Model. Under a direct service delivery model, a licensed behavior analyst shall be responsible for all aspects of case management and implementation of assessment and treatment protocols.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Consultation Agreement. Under a consultation agreement, a licensed behavior analyst:</text>
    <paragraph num="(1)">
      <text>Shall enter into a contract with the individual or entity for whom the licensed behavior analyst will be consulting that defines:</text>
      <paragraph num="(a)">
        <text>The frequency of the consultation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The location of the consultation; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The expectations of both parties to the contract;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Shall act principally in the best interest of the individual or entity for which the licensed behavior analyst will be consulting, with appropriate consent, subject to other relevant considerations, including applicable law and contractual obligations;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>When indicated and professionally appropriate, shall cooperate with other professionals in a manner that is consistent with the philosophical assumptions and principles of behavior analysis, to effectively and appropriately serve their clients; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>May be held responsible for the treatment of a client for whom a behavior analytic treatment plan was recommended.</text>
    </paragraph>
  </paragraph>
</regulation>