# COMAR 10.09.28.03: COMAR 10.09.28.03. Participant Eligibility

> Maryland · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_28_03

## Section

- **Citation:** COMAR 10.09.28.03
- **Heading:** COMAR 10.09.28.03. Participant Eligibility
- **Jurisdiction:** Maryland
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Code of Maryland Regulations / Title 10 MARYLAND DEPARTMENT OF HEALTH / Subtitle 09 MEDICAL CARE PROGRAMS / Chapter 28 Applied Behavior Analysis Services / COMAR 10.09.28.03

## Text

A. A participant shall meet the eligibility conditions set forth in §B of this regulation .
B. To qualify for ABA services, a participant shall:
(1) Be younger than 21 years old;
(2) Live in the community;
(3) Be diagnosed with an ASD by a qualified health care professional;
(4) Exhibit the presence of maladaptive behavior or developmental skills deficits that significantly interferes with home, school, or community activities;
(5) Be medically stable and not require 24-hour medical or nursing monitoring or procedures provided in a hospital or an ICF-IID;
(6) Have a comprehensive diagnostic evaluation by a qualified health care professional;
(7) Be referred for ABA services by a licensed health care professional; and
(8) Have a completed ABA treatment plan that shall:
(a) Be participant-centered and family-centered, culturally competent, and based on individualized goals;
(b) Consider the participant's age, school attendance requirements, and other daily activities;
(c) Be developed by:
(i) A licensed psychologist; or
(ii) An LBA;
(d) Ensure that the interventions are consistent with ABA techniques;
(e) Delineate both the frequency of baseline targeted behaviors and the behavior intervention plan to address the behaviors;
(f) Identify long-term goals, short-term goals, and objectives that:
(i) Are behaviorally defined;
(ii) Are customized to the participant;
(iii) Are measurable; and
(iv) Are based upon clinical observations;
(g) Identify the methods that will be used to measure achievement of behavior goals, objectives, and estimated timeframes;
(h) Identify the schedule of services planned, including number of hours per week and the providers responsible for delivering the services;
(i) Include:
(i) Care coordination involving the participant's parent or caregiver and other professionals as applicable;
(ii) Support and training of the participant's parent or caregiver;
(iii) A plan for generalization; and
(iv) Measurable discharge criteria.
Cross References 10.09.28.01B(37)

## Nearby sections

- [COMAR 10.09.28.01 COMAR 10.09.28.01. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_28_01.md)
- [COMAR 10.09.28.02 COMAR 10.09.28.02. Provider Qualifications and Conditions for Participation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_28_02.md)
- [COMAR 10.09.28.03 COMAR 10.09.28.03. Participant Eligibility](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_28_03.md)
- [COMAR 10.09.28.04 COMAR 10.09.28.04. Covered Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_28_04.md)
- [COMAR 10.09.28.05 COMAR 10.09.28.05. Limitations](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_28_05.md)
- [COMAR 10.09.28.06 COMAR 10.09.28.06. Payment Procedures](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_28_06.md)
- [COMAR 10.09.28.07 COMAR 10.09.28.07. Recovery and Reimbursement](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_28_07.md)
- [COMAR 10.09.28.08 COMAR 10.09.28.08. Cause for Suspension or Removal and Imposition of Sanctions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_28_08.md)
- [COMAR 10.09.28.09 COMAR 10.09.28.09. Appeals Procedures](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_28_09.md)
- [COMAR 10.09.28.10 COMAR 10.09.28.10. Interpretive Regulation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_28_10.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_28_03. Check the current official text before relying on it. Not legal advice.