Maryland Administrative Code

.02 Definitions. A. In this chapter, terms have the meanings stated in COMAR 10.21.17 and in this regulation. B. Terms Defined. (1) Agency-Sponsored Employment. (a) “Agency-sponsored employment” means an employment program designed to assist an individual to obtain employment at …

.03 Approval. The Department may approve a program as an MHVP 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 chapter.

.04 Authorization for Services. Before rendering services to an individual, a provider shall notify the core service agency (CSA) of the jurisdiction in which the individual resides and receive preauthorization for services. Cross References 10.21.28.12A(3)(a)

.05 Program Model. The program director shall ensure that services: A. Are designed to: (1) Support an individual in the public mental health system to be able to: (a) Choose, obtain, and maintain employment; (b) Make vocational decisions and career changes; and (2) Enhance an in…

.06 Eligibility, Screening, and Enrollment. A. Eligibility. An individual is eligible for MHVP services if: (1) The individual: (a) Is a participant in the public mental health system; (b) Has a diagnosis listed in COMAR 10.09.70.02; (c) Is an individual for whom competitive empl…

.07 Assessment and Planning Services. A. Vocational Assessment. Within 10 working days of initiation of MHVP services, MHVP staff assigned by the program director to conduct assessments, in collaboration with the individual and, with proper consent, family or significant others d…

.08 MHVP Services. A. Entitlement and Resource Education Services. The program director shall ensure that MHVP staff educate an individual about: (1) The financial impact of employment on disability benefits, entitlements, and other benefits; (2) Access to such Social Security pr…

.09 Additional Requirements — Supported Employment Model. In addition to the requirements under Regulations .01B(1) and .05E(1) of this chapter, an MHVP supporting individuals in a SEP program shall provide: A. With proper consent, at least one contact per month with the industry…

.10 Additional Requirements — Agency-Sponsored Employment Model. In addition to the requirements under Regulations .01B(2) and .05E(2) of this chapter, an MHVP supporting individuals in an agency-sponsored program shall: A. Provide additional supports to the individual at the wor…

.11 Discharge from Services. A. Discharge Policy. The program director shall: (1) Maintain clearly written policies and procedures for: (a) The process for discharge; (b) If the program's services are not appropriate for the individual, making recommendations for discontinuing se…

.12 Program Staff. A. A provider of MHVP shall ensure that MHVP staff includes, at a minimum: (1) A program director who: (a) Has sufficient qualifications, knowledge, and experience to execute the duties of the position; (b) Is available for an amount of time calculated on the b…

.01 Scope. This chapter outlines the service requirements and staffing standards for a psychiatric rehabilitation program (PRP) for minors that provides psychiatric rehabilitative services to a minor.

.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 for minors if the program meets the requirements: A. For approval outlined in COMAR 10.21.16; B. For administration outlined in COMAR 10.21.1…

.04 Program Model. A. A provider of PRP services for minors shall: (1) Have a facility 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 the public…

.04-1 Notification and Consent Requirements. A. A parent or guardian of a minor shall receive all notifications and information regarding PRP services for a minor, unless the minor is 16 years old or older and has consented to PRP services rather than a parent. B. If a minor who …

.05 Eligibility, Screening, and Initiation of Service. A. Eligibility. (1) A minor is eligible for PRP services if, as a result of a serious emotional disturbance, the: (a) Minor: (i) Has been referred for PRP services by a licensed mental health professional who is providing inp…

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

.07 Rehabilitation and Support Services Provided. A. PRP services may only be provided to a minor if identified in the minor's IRP and referred for PRP services by: (1) A licensed mental health professional who is providing inpatient, residential treatment center, or outpatient m…

.08 Discharge from Services. The program director shall maintain clearly written policies and procedures, which may be contained in one document, for the process for discharge from the program as outlined in COMAR 10.21.17.11.

.09 Program Staff. A. Following an analysis of the complexity and number of minors served, the program director, with input from program staff, shall ensure the development of a staffing plan that identifies the type and number of staff needed to implement the program's rehabilit…

.01 Scope. A. This chapter applies to public mental health system (PMHS) outpatient mental health centers (OMHC) or individual psychiatrists to provide psychiatric consultation, evaluation, and ongoing treatment, via interactive video telemental health (TMH) technologies to eligi…

.02 Definitions. A. In this chapter, terms have the meanings stated in COMAR 10.21.17 and this regulation. B. Terms Defined. (1) “Critical access hospital” means a hospital that is certified to receive cost-based reimbursement from Medicare. (2) “Designated rural geographic areas…

.03 Approval. The Department shall grant approval to a TMH provider to be eligible to receive State or federal funds for providing interactive TMH services if the TMH provider meets the requirements of this chapter and: A. For outpatient mental health centers, COMAR 10.21.20; or …

.04 Service Model. A. TMH provides the opportunity for community-based medical and mental health providers to access general or subspecialty psychiatric care providers from other areas of the State. B. TMH providers may be private practice, part of a hospital, academic, health, o…

.05 Eligibility. A. Individual Eligibility. An individual is eligible to receive TMH services if the individual: (1) Is Medicaid eligible; (2) Meets the eligibility and medical necessity criteria for participation in the Public Mental Health System; (3) Resides in one of the desi…

.06 Technical Requirements. A provider of TMH health services shall have video technology components as follows: A. A minimum bandwidth of 384 KBPS (H.263), 256 KBPS (H.264), or technical equivalent; B. A monitor with a: (1) Minimum net display of 16" diagonally; and (2) Non-anam…

.07 Confidentiality. All originating and distant TMH sites shall comply with the rules and regulations concerning the privacy and security of protected health information under: A. Health-General Article, Title 4, Subtitle 3, Annotated Code of Maryland; and B. The Health Insuranc…

.08 Medical Records. A. Originating Site. The originating site shall: (1) Be responsible for maintaining a complete medical record as if the individual were seen face-to-face at the originating site; (2) Meet the facility and community standard for medical record completion and r…

.09 Covered Services. A. TMH services shall be authorized by the Administration's administrative service organization. B. The Department shall reimburse an approved TMH provider for rendering the following psychiatric services to an eligible child, adolescent, or adult via a tele…

.10 Reimbursement. A. There are three categories of fees that the Department shall reimburse an approved TMH provider, as applicable: (1) Originating site fee; (2) Professional fee; and (3) Telepresenter fee. B. Originating Site Fee. (1) The originating site facility fee is set f…

.01 Purpose and Effective Date. Effective January 27, 2023, there is a Maryland Mental Health and Substance Use Disorder Registry and Referral System to provide a statewide system through which health care providers can identify and access available inpatient and outpatient menta…

.02 Scope. This chapter applies to: A. Hospitals under Health-General Article, Title 19, Subtitle 3, Annotated Code of Maryland; B. Freestanding medical facilities under Health-General Article, Title 19, Subtitle 3(a), Annotated Code of Maryland; and C. Any other provider type de…

.03 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Department” means the Maryland Department of Health. (2) “Facility” means a hospital, freestanding medical facility, or provider designated by the Department. (3) “Hospita…

.04 Use. A facility shall: A. Refer an individual who may require additional care coordination for inpatient, outpatient, or community-based behavioral health services, after undergoing an initial psychiatric evaluation, no later than 48 hours after arrival at the facility at a p…

.05 Daily Reporting. A facility shall report current bed availability and census information, and any additional relevant information requested by the Department, to populate the inpatient psychiatric bed board as necessary to keep the information updated, but not less than three…

.06 Penalties. A. A hospital that violates this chapter is subject to the fines, penalties, and actions specified in Health-General Article, Title 19, Annotated Code of Maryland. B. A provider who violates this chapter is subject to the fines, penalties, and actions specified in …

.01 Definitions. A. In this subtitle, the following terms have the meanings indicated. B. Terms Defined. (1) “Administration” means the Developmental Disabilities Administration of the Maryland Department. (2) “Alternative living unit (ALU)” means a residence owned, leased, or op…

.01 Incorporation by Reference. The Developmental Disabilities Administration, Policy on Reportable Incidents and Investigations, (Effective Date: January 15, 2013), is incorporated by reference.

.01-1 License Required. A. In addition to any other license required by law, a person shall be licensed by the Administration before the person may provide any of the following services to an individual with a developmental disability or to an individual eligible to receive indiv…

.02 Application for Initial License or Renewal. A. To obtain and maintain a license, an applicant shall, at a minimum: (1) Except for local health departments, be properly organized as a Maryland corporation, a forensic residential center (FRC), or a State residential center (SRC…

.03 Investigation by the Administration. A. This regulation sets forth the roles of the Developmental Disabilities Administration and the Office of Health Care Quality in investigation and follow-up of reportable incidents. B. Licensee to be Open for Inspection. A licensee shall …

.04 Compliance Monitoring. A. The Administration, through its agent, the Office of Health Care Quality (OHCQ), is responsible for monitoring and inspecting the Administration's licensees to ensure regulatory compliance. B. The Administration shall conduct an on-site pre-licensure…

.05 New Site, Site Closure, or Relocation. A. A licensee may not open, close, or relocate any site without approval of the Administration. If a licensee intends to open, close, or relocate any site, the licensee shall request approval from the Administration and submit documentat…

.06 Licensed Capacity. A. A license issued by the Administration shall include the number of individuals for whom the licensee is permitted to provide services. B. A licensee may exceed its licensed capacity only if the Director: (1) Requests in writing that the licensee exceed i…

.07 Individual Family Care (IFC). A. On the effective date of this chapter, a community residential licensee providing IFC services may not contract with an IFC care provider who has a contract with another community residential licensee who provides IFC services. B. Notwithstand…

.08 Governing Body. A. A local health department's governing body is the governing body of the respective county as set forth in Health-General Article, Title 3, Subtitle 3, Annotated Code of Maryland. B. Except for local health departments, forensic residential centers (FRCs), a…