Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 2 › Subtitle 09 - MEDICAL CARE PROGRAMS › Chapter 10.09.56 - Home and Community-Based Services Waiver for Children with Autism Spectrum Disorder › Section 10.09.56.14-1 - Covered Services - Intensive Therapeutic Integration Services

Current through Register Vol. 51, No. 14, July 12, 2024
A. Intensive
				  therapeutic integration services under this regulation:
(1) Are provided at a nonresidential setting
				  separate from the home or facility where the participant lives;
(2) Shall have an on-site direct care worker
				  for every participant receiving one-to-one interventions for intensive
				  therapeutic integration;
(3) Shall
				  include expressive therapies and therapeutic recreational activities;
(4) Shall include the development of
				  socialization skills, enhancement of self-esteem, and behavior
				  management;
(5) Are for
				  participants who require one-to-one interventions and also have problems with
				  socialization, isolation, hyperactivity, impulse control, and behavioral or
				  other related disorders;
(6) Are
				  not solely educational or recreational in nature, but have a therapeutic
				  habilitative orientation, as evidenced in written progress notes;
(7) Shall be culturally competent and
				  congruent with the participant's cultural norms;
(8) Shall assure coordination with the
				  participant's other service providers, service coordinator, and
				  multidisciplinary team;
(9) Shall
				  be based on the participant's individualized written treatment plan that
				  identifies goals of the specific therapeutic activities provided;
(10) Shall provide:
(a) General therapeutic and therapeutic
				  recreational services;
(b)
				  Behavioral management;
(c) Planning
				  for crises with the participant during a session;
(d) Socialization groups; and
(e) One or more of art, music, dance, or
				  activity therapies, as appropriate for participants;
(11) Shall have a supervisor who has been
				  trained in accordance with Regulation . 04E(3) of this chapter that:
(a) Trains and provides ongoing supervision
				  to the direct care worker rendering therapeutic integration services;
(b) Supervises the direct care worker when
				  crisis intervention services are rendered to evaluate the nature of the crisis
				  and intervenes to reduce the likelihood of reoccurrence;
(c) Plans and regularly reviews the
				  participant's therapeutic activities and behavior plan;
(d) Meets regularly with the participant and
				  family and observes the participant in the community setting;
(e) Develops intervention on an
				  individualized basis and identifies the interventions on an individualized
				  treatment plan; and
(f) Identifies,
				  in the treatment plan, the goals and tasks that the intensive therapeutic
				  integration direct care worker is implementing; and
(12) Shall, when transportation is provided:
(a) Have individualized goals for
				  transportation for the participant on the participant's treatment plan;
				  and
(b) Document the start and stop
				  times transportation is provided for each day that a participant is
				  transported.