| (a) The ratio of service providers of off-site individualized
skills and socialization to persons receiving services off-site must
be:
(1) no higher than one service provider of off-site
individualized skills and socialization to eight individuals with
an LON 1 or an LON 5 without an enhanced staffing rate and other persons
receiving off-site individualized skills and socialization or a similar
service (1:8);
(2) no higher than one service provider of off-site
individualized skills and socialization to two individuals with an
LON 8 or an LON 6 and other persons receiving off-site individualized
skills and socialization or a similar service (1:2);
(3) no higher than one service provider of individualized
skills and socialization to two individuals with an LON 1 or an LON
5 with the level one enhanced staffing rate and other persons receiving
off-site individualized skills and socialization or a similar service
(1:2);
(4) no higher than one service provider of off-site
individualized skills and socialization to one individual with an
LON 1, LON 5, LON 8, or LON 6 with the level two enhanced staffing
rate and other persons receiving off-site individualized skills and
socialization or a similar service (1:1); and
(5) no higher than one service provider of off-site
individualized skills and socialization to one individual with an
LON 9 and other persons receiving off-site individualized skills and
socialization or a similar service (1:1).
(b) A ratio described in subsection (a) of this section
may include individuals with different LONs and other persons receiving
off-site individualized skills and socialization or a similar service.
If the ratio includes individuals with different LONs or other persons
receiving off-site individualized skills and socialization or a similar
service, the ratio must be one of the following, whichever is the
lowest staffing ratio:
(1) the staffing ratio for the individual with highest
level of need;
(2) the staffing ratio required by §262.917(a)
of this title (relating to Staffing Ratios for Off-Site Individualized
Skills and Socialization), if a person in the TxHmL Program is one
of the persons represented in the ratio; or
(3) the staffing ratio required by §260.507(a)
of this title (relating to Staffing Ratios), if a person in the DBMD
Program is one of the persons represented in the ratio.
(c) A service provider of off-site individualized skills
and socialization assigned to the individuals represented in a ratio
in subsection (a) of this section must provide services only to the
individuals and other persons represented in the ratio.
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