1. A. Definition. “Unit of service” means an hour of service rendered one-on-one by a qualified provider to a participant, not including the time spent by the provider:

   1. (1) Planning, preparing, or setting up the training;
   2. (2) Following up after the training; or
   3. (3) Traveling to and from the training.
2. B. Participant training includes instruction and skill building in such areas as how to recruit, select, train, direct, supervise, and fire participant-employed attendants, money management, budgeting, independent living, meal planning, and other areas specified in the participant's plan of service.

3. C. The topics covered by participant training shall:

   1. (1) Be specified in the participant's plan of service as necessary to safely maintain the participant at home;
   2. (2) Be targeted to the individualized needs of the participant; and
   3. (3) Be sensitive of the educational background, culture, and general environment of the participant.
4. D. Participant training shall include updates as necessary to maintain or improve skills, if these updates are in the plan of service.

Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland

Effective date: June 11, 2012 (39:11 Md. R. 687)

Regulation .40C amended effective July 4, 2016 (43:13 Md. R. 712)

Regulation .41 amended effective July 4, 2016 (43:13 Md. R. 712)

Regulation .41 repealed effective December 11, 2025 (52:23 Md. R. 1198)

Regulation .41 adopted effective December 11, 2025 (52:23 Md. R. 1198)