Guide to Becoming a Therapeutic Integration (TI) Service Provider in Maryland 


1. Program Definition and Services 

Therapeutic Integration (TI) in Maryland provides structured programs for children and adolescents with autism spectrum disorder (ASD) and other developmental disabilities. Services include: 

  • After-school, weekend, and non-school day programs 
  • Therapeutic and recreational activities 
  • Social skills development 
  • Behavioral support 
  • Expressive activities to develop self-esteem and impulse control 
  • TI can be offered as regular or intensive services, with intensive services providing a higher level of support 

 

2. Regulations 

TI services are governed by regulations related to the Maryland Autism Waiver, including COMAR 10.07.02.21 (Dietetic Services) and COMAR 10.15.03 (Food Service Facilities)  

 

3. Licensing or Certification 

Providers must be certified by the Maryland State Department of Education (MSDE) to offer TI services under the Autism Waiver 

 

4. Responsible State Agency 

The Maryland State Department of Education (MSDE) and the Maryland Department of Health (MDH) jointly oversee TI services 

 

5. Application Process 

Prospective providers can attend the Autism Waiver Prospective Provider Workshop to learn about becoming a TI provider. The next workshop is scheduled for May 21, 2025 

 

6. Required Documentation 

While specific documentation requirements are not detailed in the provided results, providers likely need to maintain: 

  • Staff qualifications and training records 
  • Program policies and procedures 
  • Service delivery documentation 
  • Compliance with health and safety regulations 

 

7. Timeline for Approval 

The specific timeline for approval is not provided in the available results. 

 

8. Pre-Application Process 

There is no explicit pre-application process mentioned in the provided results. 

 

9. Pre-Application Training 

While not explicitly required, providers should ensure staff are trained in: 

  • Autism spectrum disorders 
  • Behavioral support techniques 
  • Social skills development strategies 
  • Safety and emergency procedures 

 

10. Additional Notes 

  • TI programs typically maintain a 3:1 client-to-staff ratio 
  • Services can be provided in various settings, including dedicated facilities, schools, and community centers 
  • Programs often include activities such as art, music, dance, yoga, cooking, and social skills group 
  • TI services are regulated and primarily funded by the Maryland State Autism Waiver 

 

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