Maryland Administrative Code

.06 Treatment and Support Services. A. Therapies. The therapeutic nursery program shall provide the following therapies: (1) If required by the ITP, individual therapy: (a) With the therapeutic nursery mental health professional staff; (b) With the community psychotherapist who i…

.07 Discharge and Transitioning. A. Not later than the date of admission, the therapeutic nursery program shall provide a written policy statement on discharge and transition procedures to parents, legal guardians, and primary caretakers. B. To the extent practicable, parents, le…

.08 Program Staff. A. Based on the complexity of the services provided and the number of enrollees in the therapeutic nursery, a therapeutic nursery program shall provide sufficient staff to maintain the staff-to-child ratio provided in §E of this regulation and to carry out the …

.09 Policies and Procedures. In addition to the policy and procedure requirements outlined in COMAR 10.21.17.08, a therapeutic nursery program shall adopt policies and procedures for: A. Licensure by the Department of Human Services under COMAR 07.04.02; B. Physical setting, furn…

.10 Physical Setting. A. Capacity. (1) The Department shall determine the capacity of a therapeutic nursery based on: (a) Space requirements under §C(1) of this regulation; (b) Staff requirements, including the staff-to-child ratio, required under Regulation .08D of this chapter;…

.11 Materials, Equipment, Furnishings, and Storage. A. Materials and Equipment. In addition to any other requirements of law or regulation, the therapeutic nursery program shall: (1) Provide a sufficient quantity and variety of materials and equipment for indoor and outdoor activ…

.12 Health and Safety Requirements. The therapeutic nursery program director shall: A. Ensure that a criminal background investigation as required under Family Law Article, §§5-560 — 5-568, Annotated Code of Maryland, has been completed and is on file in each staff member's perso…

.13 Transportation. If the therapeutic nursery provides transportation, the therapeutic nursery program shall ensure that: A. Vehicles used for the transport of therapeutic nursery enrollees are in compliance with the requirements outlined in Transportation Article, Title 22, Ann…

.01 Scope. A. This chapter applies to programs organized to provide intensive, assertive mental health treatment and support services delivered by a multidisciplinary treatment team to an adult or a minor whose mental health treatment needs have not been met through routine, trad…

.02 Definitions. In this chapter, terms have the meanings stated in COMAR 10.21.17.

.02-1 Approval. The Department shall grant approval to a program to be eligible to receive State or federal funds for providing MTS if the program meets the requirements: A. For approval outlined in COMAR 10.21.16; B. For administration outlined in COMAR 10.21.17; and C. Of this …

.03 Program Model. The program director shall assure that services: A. Are therapeutic and are age and culturally appropriate; B. Are provided by MTS staff who: (1) As determined by the program, are appropriately credentialed and privileged; and (2) Are available: (a) As indicate…

.04 Eligibility, Screening, and Admission. A. Eligibility. An individual is eligible for MTS if: (1) Based on a screening assessment conducted according to the provisions of §B of this regulation, the individual would benefit from services that are: (a) Directed at providing ment…

.05 Evaluative Services Provided. A. Initial MTS Psychiatric Evaluation. Within 30 days of receipt of referral for MTS, the MTS psychiatrist, in collaboration with the individual's assigned treatment coordinator, shall conduct a face-to-face evaluation of the individual to: (1) C…

.06 Treatment and Support Services Provided. A. Medication Services. (1) Evaluation and Prescription. When prescribing medication for an individual, the MTS psychiatrist shall: (a) Conduct a face-to-face evaluation of the individual; (b) Through a medical history, evidence of a r…

.06-1 Supported Housing Services for Adults. A. Housing Development. The program director shall ensure that the program: (1) Collaborates with the CSA in developing the CSA's plan for affordable, accessible housing in the community; (2) Maintains information about available regul…

.07 Discharge and Transitioning. A. Discharge Procedures. (1) An MTS program may discharge an individual from MTS only when: (a) The individual: (i) Is unwilling to continue to accept MTS; (ii) Is admitted to an inpatient facility for longer than 3 months; or (iii) Moves from the…

.08 Required Staff. A provider of MTS shall ensure that the MTS staff includes, at a minimum: A. A program director who: (1) Is a mental health professional; (2) Is available to provide MTS administration and supervision: (a) If fewer than 40 individuals are receiving services, f…

.09 Treatment Coordinator. The program director shall assign to each individual who is receiving MTS a mental health professional who is the individual's treatment coordinator, and who shall: A. Assess the individual's needs by: (1) Collaborating in the initial psychiatric evalua…

.10 Additional Staff. As needed, based on the number of individuals served, the program director may include on the MTS staff direct service providers who: A. May include the staff identified in Regulation .08C and D of this chapter; and B. As permitted under Health Occupations A…

.11 Capacity. A provider of MTS shall base the capacity of the MTS program on the basis of one full-time treatment staff person for each 12 individuals served.

.01 Scope. This chapter applies to programs that provide mental health treatment services to individuals on an outpatient basis.

.02 Definitions. In this chapter, terms have the meanings stated in COMAR 10.21.17.

.03 Approval. A. The following applicants shall be eligible for approval as an outpatient mental health center (OMHC), if the applicant demonstrates experience providing mental health services for a minimum of 1 year: (1) A group practice; or (2) A program currently approved unde…

.04 Program Model. A. An outpatient mental health center (OMHC) shall provide services that are: (1) Age and culturally appropriate; (2) Coordinated with other components of the service delivery system; and (3) Focused on recovery and resiliency. B. An OMHC shall ensure that clin…

.05 Eligibility, Screening, Enrollment, and Orientation. A. Eligibility. (1) An individual is eligible for services through the public mental health system (PMHS) if the services are preauthorized, if required, by the Administration's administrative services organization (ASO), a…

.06 Evaluative Services Provided. A. Assessment and Diagnosis. The medical director shall ensure that an appropriate licensed mental health professional shall, by the individual's second visit and based on the initial face-to-face diagnostic evaluation of the individual: (1) Form…

.07 Treatment Planning and Documentation. A. Individual Treatment Plan (ITP). (1) Initial ITP. (a) Not later than the fifth visit after an individual is enrolled in an OMHC and based on the assessment conducted under Regulation .05B of this chapter, the treatment coordinator and …

.08 Treatment Services. A. An OMHC shall have the capacity to provide the treatment services outlined in §§B — F of this regulation as required by the individual's ITP. B. Mental Health Treatment. The program director shall ensure that licensed mental health professionals provide…

.09 Support Services. A. In combination with one or more of the treatment services outlined in Regulation .08 of this chapter, an OMHC shall have the capacity to provide, as required by an individual's ITP, the support services outlined in §§B — E of this regulation. B. Referral …

.10 Program Staff. A. Required Staff. The OMHC shall have staff that is sufficient in numbers and qualifications to provide clinically appropriate services to the individuals served and includes, at a minimum: (1) A program director who is: (a) A licensed mental health profession…

.11 Multi-Facility Programs. A. An OMHC program that operates multiple sites shall assure that each additional site adheres to the application modification as outlined in COMAR 10.21.16.04E. B. The program director and the medical director shall, on a routine basis, and as clinic…

.01 Scope. This chapter outlines the service requirements and staffing standards for a psychiatric rehabilitation program (PRP) that provides psychiatric rehabilitation services to an adult at the program site or at an off-site location, including a residential rehabilitation pro…

.02 Definitions. In this chapter, terms have the meanings stated in COMAR 10.21.17.

.03 Approval. The Department shall grant approval to a program to be eligible to receive State or federal funds for providing PRP services if the program meets the requirements: A. For approval outlined in COMAR 10.21.16; B. For administration outlined in COMAR 10.21.17; and C. O…

.04 Program Model. A. A provider of PRP services for adults shall: (1) Have a facility or office that: (a) Meets all relevant federal, State, or local ordinances, laws, regulations and orders governing the program; (b) Is not located in a private residence; (c) Is accessible to t…

.05 Eligibility, Screening, and Initiation of Service. A. Eligibility. An individual is eligible for PRP services if: (1) The individual is in need of program services to enable the individual to improve or restore independent living and social skills necessary to support the ind…

.06 Evaluation and Planning Services. A. Review of Somatic Status. (1) According to the provisions outlined in this section and upon an individual's enrollment into the program, a staff member assigned by the program director shall document in the individual's medical record: (a)…

.07 Rehabilitation and Support Services Provided. A. Rehabilitation and support services may only be provided: (1) To an individual consistent with the individual's IRP or ITRP; and (2) By staff who have been determined competent by the program to provide the services. B. Rehabil…

.08 Residential Rehabilitation Program (RRP) Managed Intervention Plan (MIP). A. The program director shall: (1) Ensure that the program has a written policy regarding the development of and process for the implementation of a managed intervention plan (MIP) for an individual rec…

.09 Supported Housing Services for Adults. A. Housing Development. The program director shall ensure that the program: (1) Collaborates with the CSA to access affordable housing in the community; (2) Maintains information about available regular housing that is: (a) Integrated th…

.10 Staff Qualifications and Responsibilities. A. Program Director. The program director: (1) Shall have sufficient qualifications, knowledge, and experience to execute the duties of the position; (2) Shall be knowledgeable of the regulations applicable to the program; (3) Shall …

.11 Required Program Staff. A. A provider shall ensure that the staff of the PRP includes the following, who are employed by the PRP for the amounts of time outlined in §§B — D of this regulation: (1) A program director; (2) A psychiatric rehabilitation specialist; and (3) Psychi…

.12 Ratio. A. The program shall maintain an average ratio of at least one rehabilitation staff member serving each ten individuals who are receiving on-site PRP services, or receiving off-site PRP services in a group. B. To achieve this ratio, the program: (1) May not include: (a…

.13 Volunteers and Students. A. Students. The program may use students according to the provisions of COMAR 10.21.17.12E. B. Volunteers. The program may use volunteers according to the provisions of COMAR 10.21.17.12F.

.01 Scope. A. The purpose of this chapter is to outline the site, staffing, and service requirements that a psychiatric rehabilitation program (PRP) shall fulfill in order to be eligible to be approved to provide residential rehabilitation program (RRP) services. B. The Departmen…

.02 Definitions. In this chapter, terms have the meanings stated in COMAR 10.21.17.