Guide to Becoming a Residential Habilitation Service Provider in Maryland 


1. Program Definition and Services 

Residential Habilitation Services in Maryland provide community-based, intensive residential placements for participants who require highly supervised and supportive environments. These services include :

  • Habilitation training to acquire, retain, or improve skills 
  • Behavior shaping and management 
  • Daily living skills training 
  • Self-direction training 
  • Functional living skills training 
  • 24-hour therapeutic living environment 
  • Transition services 

 

2. Regulations 

The program is governed by COMAR 10.09.56.11 (Covered Services - Residential Habilitation Services) and COMAR 10.09.46.07 (Residential Habilitation Services)  

3. Licensing or Certification 

Providers must be licensed to operate Residential Habilitation Services in Maryland. Facilities must be one of the following :

  • Licensed group homes 
  • Licensed alternative living units 
  • Community-based residential facilities approved by the State Department of Education for special education services 

 

4. Responsible State Agency 

The Maryland Department of Health is responsible for overseeing Residential Habilitation Services 

 

5. Application Process 

The provided results do not provide specific information about the application process. Providers should contact the Maryland Department of Health for detailed application procedures. 

 

6. Required Documentation 

Providers must maintain and be prepared to present the following documentation :

  • Compliance with applicable health, fire safety, and zoning regulations 
  • Staff training records 
  • Service delivery records 
  • Policies and procedures for program implementation 
  • Emergency back-up plans 
  • HIPAA compliance documentation 

 

7. Timeline for Approval 

The available results do not provide a specific timeline for approval. Providers should contact the Maryland Department of Health for this information. 

 

8. Pre-Application Process 

There is no explicit mention of a pre-application process in the provided results. 

 

9. Pre-Application Training 

While specific pre-application training is not mentioned, providers must ensure that staff are trained in accordance with regulations, including supervisor training as specified in COMAR 10.09.56.04E(3)  

 

10. Additional Notes 

  • Services are provided at regular or intensive levels, with specific staffing requirements for each level 
  • Providers must coordinate with participants' educational, health, and medical service providers 
  • Placements must be preauthorized and reviewed annually by a multidisciplinary team 
  • Providers must work closely with service coordinators to provide transition services for participants 
  • The program does not cover room and board, direct payments to the participant's family, or routine care expected to be provided by family members 

 

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