| (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 off-site
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 §263.2017(a)
of this title (relating to Staffing Ratios for Off-Site Individualized
Skills and Socialization), if a person in the HCS 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 the staffing
ratio required by subsection (a) of this section must provide services
only to the individuals and other persons represented in the ratio.
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