# COMAR 10.09.56.06: COMAR 10.09.56.06. Specific Conditions for Participation — Intensive Individual Support Services > Maryland · Regulations · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_56_06 ## Section - **Citation:** COMAR 10.09.56.06 - **Heading:** COMAR 10.09.56.06. Specific Conditions for Participation — Intensive Individual Support Services - **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 56 Home and Community-Based Services Waiver for Children with Autism Spectrum Disorder / COMAR 10.09.56.06 ## Text To provide the service covered under Regulation .15 of this chapter , the provider shall: A. Have at least 3 years of experience in providing habilitation services to children with autism; B. Employ a full-time program director, to assure adequate coordination and supervision of the covered services, who shall either: (1) Hold a valid Maryland certificate as a special education supervisor, principal, or special educator, and have at least 3 years of successful teaching experience, as verified by former employers, in regular or special education, or both, as appropriate for the director's assignment; or (2) Have at least 3 years of relevant experience with counseling or supervision, as appropriate for the director's assignment; C. Employ direct care workers who meet provider qualifications in accordance with Regulation .04E of this chapter ; D. Employ or contract with certain professionals for consultation as needed who meet provider qualifications in accordance with Regulation .04G(1) and (2) of this chapter; E. Assure supervision of direct care workers by a: (1) Licensed psychologist; (2) Certified school psychologist; (3) Certified special educator; (4) Licensed certified social worker; (5) Licensed professional counselor; (6) Board Certified Behavioral Analyst; or (7) Individual with a masters or doctorate degree in special education or a related field and at least 5 years experience in providing training or consultation in the area of autism spectrum disorder or other developmental disabilities; F. Have at least one professional on call at all times for crisis intervention who meets provider qualifications in accordance with Regulation .04G(1) and (2) of this chapter; G. Demonstrate the capability and capacity of providing intensive individual support services by submitting documentation of experience and a written implementation plan which includes at a minimum policies and procedures regarding: (1) Abuse, neglect, and exploitation; (2) Positive behavior interventions and restraints; qualifications in accordance with Regulation .04G(1) and (2) of this chapter; G. Demonstrate the capability and capacity of providing intensive individual support services by submitting documentation of experience and a written implementation plan which includes at a minimum policies and procedures regarding: (1) Abuse, neglect, and exploitation; (2) Positive behavior interventions and restraints; (3) Implementation of treatment plans: (4) Emergency backup plans; (5) Transportation of participants; (6) Maintenance of required documentation; (7) Training and supervision of staff; (8) Quality assurance; and (9) HIPAA; H. Assure the provision of services in the least restrictive environment in the community that is appropriate to a participant's needs; I. Provide documented evidence of integration of the covered services with other community-based services received by Autism Waiver participants; J. Document arrangements to obtain medical services for participants in an emergency; K. Provide the treatment plan to the participant's service coordinator within 30 calendar days of initiation of service, and at least annually thereafter, or more frequently if the treatment plan changes; L. Document goals related to transportation and the participant’s needs on the treatment plan when transportation will be provided; M. Maintain daily contact logs completed on the same day the service is provided and reflective of treatment plan goals and activities; and N. Maintain and make available for review by the State, documentation of the 6-month review and update of each participant’s status relative to each goal in the intensive individual support services treatment plan. ## Nearby sections - [COMAR 10.09.56.01 COMAR 10.09.56.01. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_56_01.md) - [COMAR 10.09.56.02 COMAR 10.09.56.02. Participant Eligibility](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_56_02.md) - [COMAR 10.09.56.03 COMAR 10.09.56.03. Care Planning Process](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_56_03.md) - [COMAR 10.09.56.04 COMAR 10.09.56.04. Conditions for Participation — General](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_56_04.md) - [COMAR 10.09.56.05 COMAR 10.09.56.05. Specific Conditions for Participation — Residential Habilitation Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_56_05.md) - [COMAR 10.09.56.06 COMAR 10.09.56.06. Specific Conditions for Participation — Intensive Individual Support Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_56_06.md) - [COMAR 10.09.56.06-1 COMAR 10.09.56.06-1. Specific Conditions for Participation — Therapeutic Integration Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_56_06_1.md) - [COMAR 10.09.56.06-2 COMAR 10.09.56.06-2. Specific Conditions for Participation — Intensive Therapeutic Integration Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_56_06_2.md) - [COMAR 10.09.56.07 COMAR 10.09.56.07. Specific Conditions for Participation — Respite Care](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_56_07.md) - [COMAR 10.09.56.08 COMAR 10.09.56.08. Specific Conditions for Participation — Family Consultation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_56_08.md) - [COMAR 10.09.56.09 COMAR 10.09.56.09. Specific Conditions for Participation — Environmental Accessibility Adaptations](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_56_09.md) - [COMAR 10.09.56.10 COMAR 10.09.56.10. Specific Conditions for Participation — Adult Life Planning Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_56_10.md) - [COMAR 10.09.56.11 COMAR 10.09.56.11. Covered Services — Residential Habilitation Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_56_11.md) - [COMAR 10.09.56.14 COMAR 10.09.56.14. Covered Services — Therapeutic Integration Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_56_14.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_56_06. Check the current official text before relying on it. Not legal advice.