Maryland Administrative Code

.06 Residential Rehabilitation Program Model. A. The RRP director shall organize, maintain, and develop: (1) Policies directed to ensure the provision of flexible services which respond to the current needs of an individual in an RRP; and (2) Services that: (a) Promote the indivi…

.07 Eligibility, Screening, and Enrollment. A. An RRP shall conduct eligibility review, screening, and enrollment according to the provisions of COMAR 10.21.21.04. B. If the RRP residence is a group home that is licensed under COMAR 10.21.04, the RRP shall admit residents accordi…

.08 Evaluation and Planning Services. A. Assessment. Within 30 days of initiation of RRP services, staff, in collaboration with the individual, shall complete an RRP assessment that includes: (1) The rehabilitation service requirements noted in the PRP assessment; and (2) An asse…

.09 Residential Rehabilitation and Support Services Provided. In addition to the provision of PRP services, the RRP program director shall ensure that: A. RRP services support the program model outlined in Regulation .06 of this chapter; B. Staff provide an appropriate range of s…

.10 Discharge, Suspension, and Discontinuation of Residential Services. A. Discharge Policy. The program director shall: (1) Collaborate with the Administration's administrative services organization (ASO) to: (a) Arrange for discharge from the program when services are no longer…

.11 RRP Staff. A. RRP Program Director. The PRP program director shall either: (1) Carry out the RRP program director's duties that are delineated in this chapter; or (2) Appoint an RRP program director with the qualifications outlined in COMAR 10.21.21.08C. B. RRP Staff. The RRP…

.12 Quality Management (QM). A. In addition to the QM requirements in COMAR 10.21.17.10, annually the RRP program director shall complete and document reviews of the RRP's staff support, as described in Regulation .09D of this chapter, to evaluate the relationship between staff d…

.01 Scope. This chapter establishes the process for deposits to and disbursements from a community-based fund that is established when a ward is closed at a State inpatient facility.

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Administration” means the Mental Hygiene Administration. (2) “Admission” means that an individual is: (a) Taken into observation status on the basis of certification for i…

.03 Planning. A. The Administration shall identify annually the number and size of wards, if any, marked for closure at each State inpatient facility. B. The Administration may use State general funds that are appropriated in advance to assist in downsizing. C. In planning for th…

.04 Deposits to the Fund. A. When the Administration determines to close a ward or wards of a facility, the Administration shall assure that savings resulting from the downsizing are used as provided under Regulation .05 of this chapter. B. In depositing to the Fund, the Administ…

.05 Disbursements from the Fund. A. The Administration shall ensure that the first priority for disbursements from the Fund is for the care and treatment of individuals discharged from the closed ward or wards. B. The Administration may not use the Fund to supplant State general …

.06 Reporting. A. On or before January 1 of each year, the Secretary shall prepare a report on the Fund to be submitted to the General Assembly and the Department of Fiscal Services. B. The Secretary shall include in the report: (1) The number and capacity of State inpatient faci…

.01 Incorporation by Reference. COMAR 01.04.03 is incorporated by reference.

.01 Scope. This chapter establishes the fees that the Department reimburses for mental health services that are rendered by a provider to an individual who receives Medicaid-reimbursable or State-supported services.

.02 General Reimbursement. A. The Department shall reimburse the lower of the amount billed or the fee established under this chapter, after the application of an individual's copayment, based on the ability-to-pay determination according to Regulation .03 of this chapter. B. The…

.03 Definitions. A. In this chapter, terms have the meanings stated in COMAR 10.21.17, COMAR 10.63.01.02, and this regulation. B. Terms Defined. (1) “Ability-to-pay schedule” means the schedule adopted, according to the provisions of Health-General Article, Title 16, Subtitle 2, …

.03-1 General Reimbursement Conditions. A. Claims Submission. In order to be reimbursed by the Department, an approved provider shall submit a claim when the provider has: (1) Obtained authorization to provide the services for which the claim is being submitted; (2) Delivered the…

.03-2 Supplemental Rates. Providers who billed for services rendered from July 1, 2013 until the effective date of these regulations may resubmit their claims and be reimbursed for these services as set forth in Regulations .05 — .12 of this chapter.

.04 Ability to Pay. A. Except if an individual is a Medicaid recipient: (1) A provider shall provide to the Administration's designee the information needed to assess an individual's ability to pay; (2) The Administration's designee shall assess the individual's ability to pay an…

.05 Fee Schedule — Treatment Services — Diagnosis and Therapy. A. Diagnostic Interview. The Department shall reimburse a provider for a face-to-face diagnostic interview, as follows: (1) For a child or adolescent, when rendered by a provider with demonstrated competency to provid…

.06 Fee Schedule — Additional Treatment Services. A. Psychological Testing. The Department shall reimburse a psychologist for conducting psychological testing, up to a maximum of 8 hours per year per individual as follows: (1) OMHC psychologist ... $99.02 per hour; (2) Other psyc…

.07 Fee Schedule — Special OMHC Services. A. Treatment Planning. The Department shall reimburse an OMHC for providing an OMHC-enrolled individual with one face-to-face treatment planning meeting every 6 months, at the rate of $82.87 per planning meeting. B. Multifamily Group Ther…

.08 Fee Schedule — Treatment Services — Programs. A. Therapeutic Nursery Programs. The Department shall reimburse a program approved under COMAR 10.21.18 to provide therapeutic nursery services to eligible children, younger than 5 years old, at a rate of $42.20 per day, for a min…

.09 Fee Schedule — Support Services. A. Psychiatric Rehabilitation Program (PRP) Services. The Department shall reimburse a PRP for providing face-to-face rehabilitation services to an individual with a serious emotional disturbance (SED) or serious and persistent mental disorder…

.10 Fee Schedule — Services — Traumatic Brain Injury (TBI) Waiver Program. A. Residential Habilitation Services. The Department shall reimburse a program approved under COMAR 10.09.46 to provide residential habilitation services to an individual who is enrolled in the TBI Waiver …

.11 Fee Schedule — Services — Emergency Department. The Department shall reimburse an emergency department for providing emergency mental health services to an individual who is enrolled in the public mental health system, for services rendered by an appropriately privileged phys…

.12 Evaluation and Management Services — Including Medication Management. A. New Patients. The Department shall reimburse for evaluation and management services for new patients, including medication management: (1) For a problem focused history, or a problem focused examination,…

.13 Crisis Therapy. The Department shall reimburse an OMHC for crisis therapy, as follows: A. For a child or adolescent, when rendered by a provider with demonstrated competency to provide mental health services to children or adolescents: (1) For the first 60 minutes ... $118.37…

.01 Scope. This chapter outlines the staffing and service requirements for a provider of residential crisis services.

.02 Definitions. A. In this chapter, terms have the meanings stated in COMAR 10.21.17 and this regulation. B. Term Defined. “Residential crisis services (RCS)” means intensive mental health and support services that are: (1) Provided to a child or an adult with mental illness who…

.03 Approval. The Department shall grant approval to a program to be eligible to receive State or federal funds for providing RCS if the program: A. Meets the requirements: (1) For approval outlined in COMAR 10.21.16; (2) For administration outlined in COMAR 10.21.17; and (3) Of …

.04 Program Model. A. A provider of RCS shall assure that services are: (1) Therapeutic; (2) Provided by staff who, as determined by the program, are appropriately credentialed and privileged; (3) Available: (a) 24 hours per day, 7 days per week; (b) On a short-term basis, as nee…

.05 Eligibility, Referral, Screening, and Admission. A. Eligibility and Referral. (1) An individual is eligible for RCS if: (a) The individual: (i) Is a participant, as described in COMAR 10.21.25.01D(2), in the public mental health system; (ii) Has a diagnosis that is listed in …

.06 Evaluative Services. A. Initial Evaluation. Before the development of the individual treatment plan (ITP), an individual entitled under Health Occupations Article, Annotated Code of Maryland, to render a psychiatric diagnosis shall conduct a face-to-face evaluation with the i…

.07 Treatment Planning and Evaluation. A. Individual Treatment Plan (ITP). (1) Treatment Team. At a minimum the following shall participate as members of an individual's RCS program treatment team: (a) The designated treatment coordinator; (b) Relevant RCS staff providing service…

.08 Required Staff. A. The program director shall ensure that the RCS staff is sufficient in numbers and qualifications to carry out the program's service goals and includes, at a minimum, the staff identified in this regulation and Regulations .09 — .11 of this chapter. B. Progr…

.09 Staff Support and Mental Health Services — Inpatient Admission Prevention. A. Staff Support. The program director shall assure that the program: (1) Has at least one staff person on duty at all times that a resident is present in the RCS facility; (2) Has the capacity for and…

.10 Staff Support and Mental Health Services — Inpatient Admission Alternative. A. Staff Support. The program director shall ensure: (1) That sufficient staff are on duty at all times to relate to the expected clinical needs of the individuals in the residence; and (2) At a minim…

.11 Staff Support and Mental Health Services — Treatment Foster Care. A. Staff Support. The RCS program director shall assure that: (1) RCS mental health professional staff provides, to the foster care provider, specialized training in mental health crisis recognition, management…

.12 Transition and Discharge. A. Discharge Policy. The program director shall: (1) Collaborate with the Administration's ASO to: (a) Arrange for discharge from the program when services are no longer authorized by the Administration's ASO; and (b) Make recommendations for referra…

.01 Scope. This chapter outlines the staffing and service requirements for a provider of respite care services.

.02 Definitions. A. In this chapter, terms have the meanings stated in COMAR 10.21.17 and in this regulation. B. Term Defined. “Respite care” means services that are: (1) Provided for an adult with serious and persistent mental illness or a child with serious emotional disturbanc…

.03 Approval. The Department shall grant approval to a program to be eligible to receive State or federal funds for providing respite care services if the program: A. Is approved as: (1) A mobile treatment services (MTS) provider under COMAR 10.21.19; (2) An outpatient mental hea…

.04 Program Model. A. The program director shall assure that respite care services are: (1) Designed to fit the needs of the individuals served and their caregivers; and (2) Delivered by individuals who are privileged by the program to provide a particular service. B. As approved…

.05 Referral, Eligibility, Screening, and Acceptance for Respite Services. A. Referral. An individual or the individual's caregiver may request respite care services, or an agency providing mental health treatment or support services to an individual may refer the individual for …

.06 Respite Services Provided. The program director shall ensure that: A. Services are planned according to the duration, frequency, and location of the respite care; B. An individual receives services according to a plan that includes: (1) Based on the initial plan under Regulat…