Maryland Administrative Code

.07 Deemed Status. A. Request for Deemed Status. If a group home is licensed by the Department and is accredited by the Joint Commission on the Accreditation of Health Care Organizations (JCAHO) or the Rehabilitation Accreditation Commission (CARF), the governing body of the grou…

.08 Program Inspection and Investigation by the Department. A. The Department may make announced and unannounced visits to a group home. B. If the Department receives information that the safety or welfare of an individual served is in jeopardy, the Department shall promptly: (1)…

.09 Denial and Emergency Suspension of Licensure and Disciplinary Action. A. Denial of License. (1) If the Secretary proposes to deny a license to an applicant under the provisions of this chapter, the Secretary shall give written notice of the proposed denial to the: (a) Chairma…

.10 Group Home Request. If a group home requests that licensure be discontinued: A. The Secretary shall discontinue licensure; and B. The governing body shall assure that, within 10 working days, the program director takes the action described under Regulation .09A(3) of this cha…

.11 Initiation of Receivership. The Secretary may take action to initiate receivership under the provisions of Health-General Article, §§19-333 — 19-339, Annotated Code of Maryland. Cross References 10.21.04.08B(2)(b)(iii)

.12 Procedures for Hearings. A. Within 10 working days of receipt of notification that the Secretary proposes to deny approval or initiate disciplinary action, the chairman of the governing body may file a written request for a hearing with the Office of Administrative Hearings, …

.01 Scope. This chapter applies to aftercare plans, which are: A. Provided to an individual who has been accepted under the provisions of Health-General Article, Title 10, Subtitle 6, Health-General Article, Title 12, Subtitle 1, or Courts and Judicial Proceedings Article, Title …

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Accepted” means: (a) Taken into confinement on the basis of an application and certificate for involuntary admission, according to the provisions of Health-General Article…

.03 Content and Nature of Aftercare Plans. A. Staff designated by the CEO to assist individuals in aftercare planning shall, as soon as possible after acceptance, in collaboration with the individual: (1) Initiate the aftercare planning process; (2) With proper consent, involve i…

.04 Distribution of Aftercare Plan. A. Designated staff shall provide the individual with the opportunity to consent or withhold consent for release of all or any portion of the plan to any provider. B. Within 48 hours or by the first appointment, whichever is sooner, designated …

.01 Scope. This chapter establishes procedures and standards for residential admission to the Regional Institutes for Children and Adolescents (RICAs). The RICAs are mental health facilities licensed and operated by the Maryland Department of Health for the residential treatment …

.02 Definitions. A. The following terms have the meanings indicated. B. Terms Defined. (1) “Administration” means the Maryland Department of Health. (2) “Applicant” means a child or adolescent who is the subject of an application for admission to a RICA. (3) “Director” means the …

.03 Application for Admission. A. On referral by a public or private agency or mental health professional, application for admission to a RICA may be made by: (1) The parent or guardian of a child or adolescent under 18 years old; (2) An adolescent, if the adolescent is 16 years …

.04 Admission Procedures. A. Each RICA shall maintain an admission team which consists of a physician, mental health and educational professionals and other persons, as appropriate. The RICA admission team shall determine whether the applicant meets the admission standards set fo…

.05 Admission Criteria. A. A child or adolescent may be admitted to a RICA if the: (1) Individual has a long-term and severe mental disorder; (2) Individual has treatment needs that cannot be met through available community-based programs; (3) Residential treatment provided by th…

.06 Resident Rights. A. Residents shall be accorded the rights enumerated in the Health-General Article, §§10-701 through 10-709, Annotated Code of Maryland, and shall be informed of these rights upon admission. B. An individualized treatment plan shall be developed and implement…

.07 Court Evaluation Unit. A. A RICA may establish a separate unit for short term evaluation of children and adolescents referred by a Juvenile Court. B. Admission from the court evaluation unit to the regular residential treatment program shall be in accordance with the procedur…

.01 Scope. This chapter establishes the procedures and standards for operating, programming, and staffing a therapeutic group home (TGH) for children.

.02 Definitions. A. In this chapter, terms have the meanings stated in COMAR 14.31.05, 14.31.06, and in this chapter. B. Terms Defined. (1) “Administration” means the Mental Hygiene Administration. (2) “Case coordinator” means the mental health professional or residential care sp…

.03 Proposal and Designation of Lead Agency. A. Proposal. (1) An individual or organization that proposes to provide therapeutic living services for children in a TGH shall: (a) Direct an initial inquiry for obtaining a license to the GOC, in accordance with COMAR 14.31.05.05; an…

.04 License Required. A. Before operating a TGH, a person shall obtain a license from the Department under the provisions of this chapter and COMAR 14.31.05 for each TGH site in which children reside. B. The Secretary shall grant a license to an applicant to operate a TGH if the …

.05 Application Process. A. Consultation. If the Administration is the designated lead agency, an applicant for licensure for a TGH, before submitting an application, may request assistance from the designated licensure unit of the Department, the appropriate CSA director, or the…

.06 Governance. A. Governing Body. (1) A provider that is licensed by the Department under this chapter to operate a TGH shall be governed by a body that shall: (a) Carry out the responsibilities under COMAR 14.31.06.04; and (b) Either: (i) Include the membership described under …

.07 Collaboration with Core Service Agency (CSA). A. If the jurisdiction in which a TGH is located is served by a CSA, the governing body shall document that the program shall: (1) Submit the following information to the CSA: (a) Documentation that the program budget is adequate …

.08 TGH Program Model. A. A TGH provides therapeutic living services: (1) For at least four but not more than eight children; (2) By providing access to a combination of developmental, diagnostic, and therapeutic mental health services; (3) When possible, in the child's community…

.09 Eligibility, Application, and Admission. A. Eligibility. (1) A child is eligible for admission to a TGH if: (a) The child: (i) Has a mental disorder; (ii) Is or should be receiving treatment for the mental disorder; (iii) Because of the mental disorder, requires residential s…

.10 Required Services. The chief executive officer of a TGH shall assure that children in the TGH receive: A. Physical and dental examinations, care, and treatment for children who are: (1) Eligible for Medical Assistance, services through the managed care organization, as requir…

.11 Evaluative Services Provided by the TGH. A. Therapeutic Milieu. The clinical coordinator, as defined in Regulation .14C of this chapter, shall assure maintenance of the therapeutic milieu in order to foster achievement of a child's treatment goals. B. Diagnosis. Within 1 week…

.12 Treatment and Support Services Provided by the TGH. A. Case Coordination. The TGH clinical director shall assure that a child's case coordinator: (1) Integrates appropriate therapeutic and educational services into the child's ITP by coordinating with the child's previous pla…

.13 Residential Services. A. General. The chief executive officer shall assure that: (1) Basic life needs are met, according to the requirements of COMAR 01.04.04.17; and (2) Communication and visiting policies and daily routines are implemented according to the requirements of: …

.14 Staff. A. Required Staff. The governing body of a TGH shall assure that TGH staff is sufficient in numbers and qualifications to: (1) Carry out the TGH program service plan described in Regulation .05C of this chapter and program model described in Regulation .08 of this chap…

.15 Data Submission. A TGH shall report the required data in the form and at the times specified by the Administration.

.16 Rights. TGH staff shall explain to a child enrolled in a program and to the child's parent, guardian, and, if other than the parent, the primary caretaker, of the child's rights as set forth in Health-General Article, Title 10, Subtitle 7, and Title 4, Subtitle 3, Annotated C…

.17 Grievances. A. A TGH shall develop and implement a process for the prompt and objective resolution of grievances that may be presented by a child or by a child's parent, guardian, or primary caretaker. B. The TGH shall prominently display, in accessible centralized locations,…

.01 Scope. The following regulations govern the provision of services for hearing impaired mentally ill patients within the Administration's facilities and the designated inpatient hearing impaired unit.

.02 Definitions. A. The following terms have the meanings indicated. B. Terms Defined. (1) “Administration” means the Maryland Department of Health Administration. (2) “Audiologist” means an individual who is authorized to practice audiology under Health Occupations Article, Titl…

.03 Identification of Hearing Impaired Patients. A. Patients admitted to facilities shall be screened for hearing impairment. B. Gross Testing of Hearing Sensitivity. (1) At each facility, an examination shall be performed for gross testing of hearing sensitivity on all newly adm…

.04 Standards for Identification Audiometry. A. Staff, as defined in Regulation .03C(4)(b), of this chapter, shall conduct manually administered, individual pure tone air conduction screening procedures for identification audiometry on each patient with a developmental age of 3 y…

.05 Requirements for the Acoustical Environment. The test tones listed in this regulation shall meet the allowable octave-band ambient noise levels which are noted in the following table taken from page 5 of the May 1985 ASHA journal: Test frequency 500 1000 2000 4000 Octave-band…

.06 Springfield Hospital Unit for Hearing Impaired Patients. A. Transfer Criteria. To be transferred to the unit, each patient shall: (1) Meet the statutory criteria for admission as set forth in Health-General Article, §10-609 — 10-619, Annotated Code of Maryland, and other appl…

.07 Determination of Placement. A. Each hearing impaired patient in a facility, regardless of other handicapping conditions, shall be referred for evaluation for transfer to the unit pursuant to this regulation and Regulations .06 and .08A of this chapter. The following apply: (1…

.08 Services for Hearing Impaired Patients Not in the Unit. A. Unless the age of a minor hearing impaired patient precludes transfer to the unit, the referring facility's treating physician shall refer the patient for evaluation to the unit at least every 60 days in order to: (1)…

.09 Procedure Pertaining to Complaints. Complaints about the individual application of this chapter may be addressed through any patient grievance mechanism.

.01 Scope. These regulations govern the rights of patients in all facilities as defined in Health-General Article, §§10-101(e) and 10-703, Annotated Code of Maryland. Pursuant to Health-General Article, §10-703, Annotated Code of Maryland, and for the safety and well-being of pat…

.02 Definitions. A. The following terms have the meanings indicated. B. Terms Defined. (1) “Administration” means the Mental Hygiene Administration. (2) “Attorney” means a person licensed to practice law or the attorney's agent. (3) “Clergy” means an official of a recognized chur…

.03 Facility Visitation and Visiting Hours. A. All facilities shall provide a conspicuously posted notice to patients, family members, and friends of the hours allowed for visiting on facility grounds and the conditions under which visiting is permitted. B. Visitation procedures …

.04 Visitation Areas. A. Specific areas shall be designated as visitor areas and may be subject to supervision by facility staff. B. Patients shall have the right to converse in private subject to the restrictions of Health-General Article, §10-703(c), Annotated Code of Maryland.…