reglab/statecodes huggingface dataset:
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.23 - Community-Based Fund › Section 10.21.23.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
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 involuntary admission
				  under Health-General Article, 10-614-----10-617, Annotated Code of Maryland,
				  and COMAR 10.21.01.07C;
				  or
(b) Voluntarily admitted under
				  the provisions of Health-General Article, §10-609 or 10-610, Annotated
				  Code of Maryland.
(3)
				  "Average annual itemized expenses" means the amount budgeted for institutional
				  services and administrative overhead costs that are appropriated for the
				  facility in the fiscal year in which downsizing occurs.
(4) "Core service agency (CSA)" means the
				  county or multicounty authority, designated under Health-General Article, Title
				  10, Subtitle 12, Annotated Code of Maryland, and approved by the Department,
				  that is responsible for planning, managing, and monitoring publicly funded
				  mental health services.
(5)
				  "Department" means the Department of Health and Mental Hygiene.
(6) "Director" means the Director of the
				  Mental Hygiene Administration.
(7)
				  "Downsizing" means the process by which the Administration analyzes the
				  projected capacity of a State inpatient facility and implements procedures to
				  close a ward or wards.
(8) "Fund"
				  means the Mental Hygiene Community-Based Services Fund established according to
				  the requirements of Health-General Article, §10-208, Annotated Code of
				  Maryland.
(9) "Secretary" means the
				  Secretary of Health and Mental Hygiene.
(10) "State inpatient facility" means a
				  facility listed in Health-General Article, §10-406(a), Annotated Code of
				  Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.23 - Community-Based Fund › Section 10.21.23.03 - Planning

Current through Register Vol. 51, No. 14, July 12, 2024
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 the provision of
				  appropriate treatment and support services in the community, if the
				  jurisdictions to which individuals discharged from the closing wards are:
(1) Served by a core service agency (CSA) or
				  agencies, the Administration shall collaborate with the appropriate CSA;
				  or
(2) Not served by a CSA, the
				  Administration, in collaboration with the local health officer, shall carry out
				  the necessary planning.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.23 - Community-Based Fund › Section 10.21.23.04 - Deposits to the Fund

Current through Register Vol. 51, No. 14, July 12, 2024
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
				  Administration shall follow the following process:
(1) Calculate the net daily cost of
				  maintaining an individual in the facility by:
(a) Subtracting from the facility's total
				  general fund appropriation:
(i) Average
				  annual itemized expenses for costs that are required to continue to provide
				  care, treatment, and support services,
(ii) Cost for new admissions to the facility
				  under Health-General Article, Title 10, Subtitle 6, Annotated Code of Maryland,
				  and
(iii) Cost for court-ordered
				  evaluations and commitments to the facility under Health-General Article, Title
				  12, Annotated Code of Maryland; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.23 - Community-Based Fund › Section 10.21.23.05 - Disbursements from the Fund

Current through Register Vol. 51, No. 14, July 12, 2024
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 fund resources
				  for existing community services.
C.
				  Disbursements from the Fund, in excess of the amount required to annualize the
				  cost of care and treatment of individuals discharged from the closed ward or
				  wards, are subject to the State appropriations process.
D. The Director shall ensure that the Fund is
				  used to provide needed services in the community, including but not limited to:
(1) Case management;
(2) Crisis services;
(3) Outpatient mental health
				  clinic;
(4) Psychiatric day
				  treatment;
(5) Group home
				  placement;
(6) Mobile treatment
				  services;
(7) Psychiatric
				  rehabilitation;
(8) Residential
				  rehabilitation;
(9) Supported
				  employment;
(10) Supported
				  living;
(11) Therapeutic group
				  homes; and
(12) Consumer-operated
				  programs.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.23 - Community-Based Fund › Section 10.21.23.06 - Reporting

Current through Register Vol. 51, No. 14, July 12, 2024
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 facility wards closed during the prior fiscal
				  year;
(2) An accounting of:
(a) The amount deposited to the Fund
				  according to the methodology outlined under Regulation .04 of this chapter,
				  and
(b) All other amounts
				  reallocated from facilities to community programs;
(3) An accounting of disbursements from the
				  Fund in accordance with Regulation .05 of this chapter; and
(4) The number and capacity of State
				  inpatient facility wards planned for closure during the current fiscal
				  year.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.24 - Interagency Discharge Planning for Hospitalized Children and Adolescents › Section 10.21.24.01 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
COMAR 01.04.03 is incorporated by
					 reference.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.25 - Fee Schedule - Mental Health Services - Community-Based Programs and Individual Practitioners › Section 10.21.25.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
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.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.25 - Fee Schedule - Mental Health Services - Community-Based Programs and Individual Practitioners › Section 10.21.25.02 - General Reimbursement

Current through Register Vol. 51, No. 14, July 12, 2024
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
				  Department may reimburse for non-Medicaid-reimbursable mental health services
				  to the extent that State resources permit.
C. According to the provisions of this
				  chapter, the Department shall reimburse a mental health services provider:
(1) That is:
(a) A community-based mental health program
				  that is approved by the Department; or
(b) An appropriately credentialed individual
				  practitioner who contracts with the Department's Medical Assistance
				  Program;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.25 - Fee Schedule - Mental Health Services - Community-Based Programs and Individual Practitioners › Section 10.21.25.03-1 - General Reimbursement Conditions

Current through Register Vol. 51, No. 14, July 12, 2024
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 service;
(3) Documented provision of service as
				  required; and
(4) Complied with any
				  regulatory preconditions for the delivery of the service.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.25 - Fee Schedule - Mental Health Services - Community-Based Programs and Individual Practitioners › Section 10.21.25.03-2 - Supplemental Rates

Current through Register Vol. 51, No. 14, July 12, 2024
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.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.25 - Fee Schedule - Mental Health Services - Community-Based Programs and Individual Practitioners › Section 10.21.25.04 - Ability to Pay

Current through Register Vol. 51, No. 14, July 12, 2024
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 and determine the required copayment;
				  and
(3) The provider shall make
				  collections of the copayment according to the requirements in Health-General
				  Article, §§16-201 -16-204, Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.25 - Fee Schedule - Mental Health Services - Community-Based Programs and Individual Practitioners › Section 10.21.25.05 - Fee Schedule - Treatment Services - Diagnosis and Therapy

Current through Register Vol. 51, No. 14, July 12, 2024
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 provide mental health services to children or adolescents:
(a) OMHC ... $190.23;
(b) Physician ... $151.68;
(c) Psychologist ... $121.08;
(d) Other mental health professionals ...
				  $106.01;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.25 - Fee Schedule - Mental Health Services - Community-Based Programs and Individual Practitioners › Section 10.21.25.06 - Fee Schedule - Additional Treatment Services

Current through Register Vol. 51, No. 14, July 12, 2024
A. Psychological Testing.
(1) The Department shall reimburse a
				  psychologist for conducting psychological testing, up to a maximum of 8 hours
				  per year per individual as follows:
(a)OMHC
				  psychologist ... $99.02 per hour;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.25 - Fee Schedule - Mental Health Services - Community-Based Programs and Individual Practitioners › Section 10.21.25.07 - Fee Schedule - Special OMHC Services

Current through Register Vol. 51, No. 14, July 12, 2024
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 Therapy. The Department shall reimburse an OMHC for providing
				  multifamily group therapy, with the identified patient, for families of:
(1) Children and adolescents, for 45-60
				  minutes, with the child present ... $41.98 per family;
(2) Children and adolescents, for 20-30
				  minutes, with the child present ... $38.55 per family;
(3) Adults, for 45-60 minutes, with the adult
				  present ... $39.83 per family
(4)
				  Adults, for 20-30 minutes, with the adult present ... $35.75 per
				  family;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.25 - Fee Schedule - Mental Health Services - Community-Based Programs and Individual Practitioners › Section 10.21.25.08 - Fee Schedule - Treatment Services - Programs

Current through Register Vol. 51, No. 14, July 12, 2024
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 minimum of 3 days per week, 3 hours per
				  day.
B. Mobile Treatment Services.
				  The Department shall reimburse a program for mobile treatment services
				  delivered to an individual:
(1) For a minimum
				  of four face-to-face services, and according to a treatment plan that outlines
				  the expected type and frequency of services;
(2) At the rate of:
(a) $839.45 per month; or
(b) If the individual is a Medicare
				  recipient, $643.58 per month, if the program has:
(i) Delivered services according to the
				  provision of §A(1) of this regulation; and
(ii) Billed applicable Medicare reimbursed
				  services;
(3)
				  For enhanced support, when the need for short-term one-to-one support is
				  documented and approved by the Administration or its designee:
(a) At the rate of $12.91 per hour;
(b) Up to a maximum of $129.10 per
				  day;
(c) Not to exceed 30 days per
				  calendar year.
(4) For
				  evidence-based programs, assertive community treatment (ACT), at the rate of:
(a) For Medicaid recipients and other
				  individuals meeting eligibility criteria for uninsured, $$1,183.34 per month;
				  or
(b) If the individual has
				  Medicare only, $1,049.31 per month.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.25 - Fee Schedule - Mental Health Services - Community-Based Programs and Individual Practitioners › Section 10.21.25.09 - Fee Schedule - Support Services

Current through Register Vol. 51, No. 14, July 12, 2024
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 (SPMD), by a monthly rate that is based on a minimum and
				  maximum range of services, when the PRP submits monthly supporting encounter
				  data after services are provided to the individual, within which the provider
				  shall meet the needs of the individual, as follows:
(1) Assessment ... $61.62;
(2) PRP services to an employed individual in
				  a supported employment program, delivered at the job site, at a rate of $107.62
				  per month, for:
(a) A minimum of two services
				  per month;
(b) A maximum of 30
				  services per month;
(c) A minimum
				  of 15 minutes per service; and
(d)
				  A maximum of one service per day.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.25 - Fee Schedule - Mental Health Services - Community-Based Programs and Individual Practitioners › Section 10.21.25.10 - Fee Schedule - Services - Traumatic Brain Injury (TBI) Waiver Program

Current through Register Vol. 51, No. 14, July 12, 2024
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 Program:
(1) At the following rates:
(a) Level I ... $192.76 per day;
(b) Level II ... $255.24 per day;
(c) Level III ... $353.11 per day;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.25 - Fee Schedule - Mental Health Services - Community-Based Programs and Individual Practitioners › Section 10.21.25.11 - Fee Schedule - Services - Emergency Department

Current through Register Vol. 51, No. 14, July 12, 2024
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 physician or certified registered nurse practitioner - psychiatric
					 as follows:
A. For a problem focused
				  history, a problem focused examination, and straightforward medical decision
				  making ... $22.27;
B. For an
				  expanded problem focused history, an expanded problem focused examination, and
				  medical decision making of low complexity ... $43.80;
C. For an expanded problem focused history,
				  an expanded problem focused examination, and medical decision making of
				  moderate complexity ... $65.29;
D.
				  For a detailed history, a detailed examination, and medical decision making of
				  moderate complexity ... $124.63;
E.
				  For a comprehensive history, a comprehensive examination, and medical decision
				  making of high complexity ... $182.80.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.25 - Fee Schedule - Mental Health Services - Community-Based Programs and Individual Practitioners › Section 10.21.25.12 - Evaluation and Management Services-Including Medication Management

Current through Register Vol. 51, No. 14, July 12, 2024
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, and straightforward medical decision making of
				  minor complexity:
(a) OMHC . $48.70;
(b) Physician . $48.70;
(c) Certified registered nurse
				  practitioner-psychiatric . $48.70;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.25 - Fee Schedule - Mental Health Services - Community-Based Programs and Individual Practitioners › Section 10.21.25.13 - Crisis Therapy

Current through Register Vol. 51, No. 14, July 12, 2024
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;
(2) For an additional period of 30
				  minutes . $61.77;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.26 - Community Mental Health Programs-Residential Crisis Services › Section 10.21.26.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter outlines the staffing and service requirements
					 for a provider of residential crisis services.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.26 - Community Mental Health Programs-Residential Crisis Services › Section 10.21.26.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
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 is experiencing or is at risk of a psychiatric crisis that
				  would impair the individual's ability to function in the community;
				  and
(2) Designed to prevent a
				  psychiatric inpatient admission, provide an alternative to psychiatric
				  inpatient admission, shorten the length of inpatient stay, or reduce the
				  pressure on general hospital emergency departments.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.26 - Community Mental Health Programs-Residential Crisis Services › Section 10.21.26.03 - Approval

Current through Register Vol. 51, No. 14, July 12, 2024
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 this chapter, including approval, based on the requirements for intensity of
				  services and staffing outlined in this chapter, for one or more of the
				  following:
(a) Inpatient admission
				  prevention;
(b) Inpatient admission
				  alternative; or
(c) Treatment
				  foster care in a foster home licensed under COMAR 07.02.21;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.26 - Community Mental Health Programs-Residential Crisis Services › Section 10.21.26.04 - Program Model

Current through Register Vol. 51, No. 14, July 12, 2024
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
				  needed to resolve an immediate crisis; and
(c) At a location in the community, unless
				  given a written exemption from the core service agency (CSA).
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.26 - Community Mental Health Programs-Residential Crisis Services › Section 10.21.26.05 - Eligibility, Referral, Screening, and Admission

Current through Register Vol. 51, No. 14, July 12, 2024
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 COMAR
				  10.09.70.10D,
(iii) Due to acute
				  symptomatology related to the individual's psychiatric condition, has impaired
				  ability to function within the individual's community living situation and is
				  in need of RCS to avoid inpatient psychiatric admission or to shorten the
				  length of inpatient stay,
(iv) For
				  clinical reasons, requires a temporary separation from the individual's current
				  living situation,
(v) Has stated a
				  willingness to comply with program rules, or, for a child, a parent or guardian
				  has stated a willingness to comply with program rules,
(vi) Expects, with staff support, to be able
				  to comply with treatment recommendations, and
(vii) Is able, with staff support, to care
				  for physical needs and basic personal hygiene; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.26 - Community Mental Health Programs-Residential Crisis Services › Section 10.21.26.06 - Evaluative Services

Current through Register Vol. 51, No. 14, July 12, 2024
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 individual, and, if the individual is a child, with the
				  child's primary caretaker, to:
(1) Describe
				  the presenting problem and history of present illness;
(2) Collect and evaluate relevant medical and
				  mental health history, including, if any:
(a)
				  Previous inpatient and outpatient treatment, and
(b) A review of current medications and
				  source of prescriptions;
(3) Evaluate current mental status;
(4) Either:
(a) Formulate and document a psychiatric
				  diagnosis and the rationale for the diagnosis, or
(b) Affirm the psychiatric diagnosis, not
				  more than 1 year old, formulated by the referral source and documented in the
				  individual's medical record; and
(5) Identify needed treatment.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.26 - Community Mental Health Programs-Residential Crisis Services › Section 10.21.26.07 - Treatment Planning and Evaluation

Current through Register Vol. 51, No. 14, July 12, 2024
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 services to the individual; and
(c) When available, relevant staff from other
				  agencies currently providing services to the individual.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.26 - Community Mental Health Programs-Residential Crisis Services › Section 10.21.26.08 - Required Staff

Current through Register Vol. 51, No. 14, July 12, 2024
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. Program Director.
				  The governing body shall employ a program director who:
(1) As determined by the governing body, has
				  sufficient qualifications, knowledge, and experience to execute the duties of
				  the position;
(2) Is available to
				  provide RCS administration and supervision:
(a) For the amount of time necessary to carry
				  out the duties and, at a minimum, 10 hours per week; and
(b) If a RCS program operates in more than
				  one site, by:
(i) Designating, as necessary,
				  staff to manage services at each site and report to the program director,
				  and
(ii) Having contact with each
				  site each week;
(3) Is responsible for operational oversight
				  for, at a minimum:
(a) Fulfilling the
				  administrative requirements under COMAR 10.21.17 and the day-to-day operations
				  of the RCS program;
(b) Maintaining
				  sufficient staff, including recruiting, hiring, scheduling, and
				  terminating;
(c) Consulting on the
				  development and implementation of the budget;
(d) Keeping the governing body informed of,
				  at a minimum, the program's approval status and performance; and
(e) In collaboration with appropriate RCS
				  staff, assuring staff compliance with:
(i)
				  Credentialing and privileging,
(ii)
				  Appropriate training and supervision, and
(iii) When required, the on-call availability
				  of a psychiatrist; and
(4) If appropriately credentialed and
				  privileged, may provide RCS services.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.26 - Community Mental Health Programs-Residential Crisis Services › Section 10.21.26.09 - Staff Support and Mental Health Services - Inpatient Admission Prevention

Current through Register Vol. 51, No. 14, July 12, 2024
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, when required
				  by an individual's ITP, provides 24-hour awake staff support;
(3) Has the capacity for 1:4 coverage and,
				  when required by an individual's ITP, provides 1:4 coverage; and
(4) If the program serves children, provides
				  at least one staff member for every three children.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.26 - Community Mental Health Programs-Residential Crisis Services › Section 10.21.26.10 - Staff Support and Mental Health Services - Inpatient Admission Alternative

Current through Register Vol. 51, No. 14, July 12, 2024
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 minimum:
(a) The provision of at least one on-site,
				  awake staff for every four individuals receiving RCS or, if a child is in the
				  residence, one staff for every three individuals;
(b) The availability, based upon clinical
				  acuity and the request of on-duty staff, of at least one other staff member to
				  arrive at the RCS program within 1 hour of a request; and
(c) That the program has the capacity for 1:1
				  coverage, and provides 1:1 coverage when clinically indicated.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.26 - Community Mental Health Programs-Residential Crisis Services › Section 10.21.26.11 - Staff Support and Mental Health Services - Treatment Foster Care

Current through Register Vol. 51, No. 14, July 12, 2024
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, and intervention, before placing any
				  individuals in the foster home; and
(2) The RCS program has the capacity to
				  provide staff to deliver, in the foster home, on an emergency basis:
(a) 24-hour, awake supervision; and
(b) One-to-one support.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.26 - Community Mental Health Programs-Residential Crisis Services › Section 10.21.26.12 - Transition and Discharge

Current through Register Vol. 51, No. 14, July 12, 2024
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
				  referral for alternative services for an individual for whom the program's
				  services are not appropriate; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.27 - Community Mental Health Programs-Respite Care Services › Section 10.21.27.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter outlines the staffing and service requirements
					 for a provider of respite care services.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.27 - Community Mental Health Programs-Respite Care Services › Section 10.21.27.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
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 disturbance;
(2) Provided on a short-term basis in a
				  community-based setting; and
(3)
				  Designed to support an individual to remain in the individual's home by:
(a) Providing the individual with enhanced
				  support or a temporary alternative living situation, or
(b) Assisting the individual's home caregiver
				  by temporarily freeing the caregiver from the responsibility of caring for the
				  individual.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.27 - Community Mental Health Programs-Respite Care Services › Section 10.21.27.03 - Approval

Current through Register Vol. 51, No. 14, July 12, 2024
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 health clinic (OMHC) under COMAR 10.21.20; or
(3) A psychiatric rehabilitation program
				  (PRP) under COMAR 10.21.21; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.27 - Community Mental Health Programs-Respite Care Services › Section 10.21.27.04 - Program Model

Current through Register Vol. 51, No. 14, July 12, 2024
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.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.27 - Community Mental Health Programs-Respite Care Services › Section 10.21.27.05 - Referral, Eligibility, Screening, and Acceptance for Respite Services

Current through Register Vol. 51, No. 14, July 12, 2024
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 respite care services.
B. Eligibility.
(1) An individual is eligible to receive
				  respite care if:
(a) The individual is a
				  participant, as described in COMAR
				  10.21.25.01D(2),
				  in the public mental health system;
(b) The individual has a diagnosis that is
				  listed in COMAR 10.09.70.10D;
(c)
				  The individual is:
(i) An adult who has
				  serious and persistent mental illness and who lives independently or in a
				  family-like setting, or in a residential rehabilitation program (RRP) under the
				  provisions of COMAR 10.21.22, or
(ii) A child who has a serious emotional
				  disturbance and who lives with a parent, guardian, or other primary caretaker
				  in a family-like home, or in a foster home under the provisions of COMAR
				  07.02.11 or 07.02.21; and
(d) The services are preauthorized, as
				  needed, by the Administration's administrative services organization (ASO)
				  according to the provisions of COMAR
				  10.21.17.02D
				  -1A.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.27 - Community Mental Health Programs-Respite Care Services › Section 10.21.27.06 - Respite Services Provided

Current through Register Vol. 51, No. 14, July 12, 2024
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 Regulation .05D(3) of this chapter, a schedule of the
				  individual's activities during respite,
(2) When needed, medication monitoring,
				  and
(3) The frequency and intensity
				  of staff support;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.27 - Community Mental Health Programs-Respite Care Services › Section 10.21.27.07 - Conclusion of Respite Episode

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Planned Conclusion. At the agreed upon time of conclusion of a respite care
				  episode, the program director shall assure that staff document a summary of the
				  episode in the individual's record.
B. Individual's Discontinuation of Services.
				  If an individual elects to discontinue services before the planned conclusion
				  of a respite episode, as described in §A of this regulation, the program
				  director shall:
(1) Promptly notify the
				  individual's caregiver or designated emergency contact;
(2) If the individual is a child, discharge
				  the child only to an adult who is legally responsible for the child;
(3) Notify the CSA and the Administration's
				  ASO of the action; and
(4) Assure
				  that staff document a summary of the episode in the individual's
				  record.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.27 - Community Mental Health Programs-Respite Care Services › Section 10.21.27.08 - Respite Staff

Current through Register Vol. 51, No. 14, July 12, 2024
A. Respite Care
				  Program Director. The MTS, OMHC, or PRP program director shall either:
(1) Carry out the respite care program
				  director's duties that are delineated in this chapter; or
(2) Appoint a respite care program director
				  with sufficient qualifications, knowledge, and experience to execute the duties
				  of the position.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.28 - Community Mental Health Programs-Mental Health Vocational Programs (MHVP) › Section 10.21.28.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter outlines the staffing and service requirements
					 that a mental health vocational program (MHVP) shall fulfill to be approved by
					 the Department to be eligible to receive State or federal funds to provide
					 services.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.28 - Community Mental Health Programs-Mental Health Vocational Programs (MHVP) › Section 10.21.28.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
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
				  locations owned, leased, rented, or managed by the provider, at other locations
				  by an agency-held contract, at a consumer-operated business or program, or work
				  enclave that provides:
(i) Compensation to
				  individuals according to the standards established by the Department of
				  Labor;
(ii) Opportunity for
				  individuals to have contact with nondisabled individuals and the public to the
				  same extent that nondisabled individuals in comparable positions interact with
				  the public; and
(iii) Additional
				  supports, as needed, to the individual in the work setting.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.28 - Community Mental Health Programs-Mental Health Vocational Programs (MHVP) › Section 10.21.28.03 - Approval

Current through Register Vol. 51, No. 14, July 12, 2024
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.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.28 - Community Mental Health Programs-Mental Health Vocational Programs (MHVP) › Section 10.21.28.04 - Authorization for Services

Current through Register Vol. 51, No. 14, July 12, 2024
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.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.28 - Community Mental Health Programs-Mental Health Vocational Programs (MHVP) › Section 10.21.28.05 - Program Model

Current through Register Vol. 51, No. 14, July 12, 2024
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
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.28 - Community Mental Health Programs-Mental Health Vocational Programs (MHVP) › Section 10.21.28.06 - Eligibility, Screening, and Enrollment

Current through Register Vol. 51, No. 14, July 12, 2024
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 10.09.70.10D;
(c)
				  Is an individual for whom competitive employment has not occurred, has been
				  interrupted, or has been intermittent;
(d) Wants to work; and
(e) Is in need of ongoing MHVP services to
				  enable the individual to choose, obtain, or maintain employment; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.28 - Community Mental Health Programs-Mental Health Vocational Programs (MHVP) › Section 10.21.28.07 - Assessment and Planning Services

Current through Register Vol. 51, No. 14, July 12, 2024
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 designated by the individual,
				  shall complete a face-to-face MHVP assessment that includes, at a minimum:
(1) Documentation of the individual's
				  employment interests, preferences, and skills;
(2) An evaluation that identifies the
				  individual's competencies, work needs, and readiness for employment;
(3) Identification of obstacles and barriers
				  to work such as transportation and impact on entitlements;
(4) Relevant information from the screening
				  conducted under Regulation .06B of this chapter; and
(5) If appropriate, relevant information from
				  previous vocational screenings or assessments.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.28 - Community Mental Health Programs-Mental Health Vocational Programs (MHVP) › Section 10.21.28.08 - MHVP Services

Current through Register Vol. 51, No. 14, July 12, 2024
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 programs
				  as Plan to Achieve Self- Sufficiency and Impairment-Related Work Expense and
				  the individual's rights and responsibilities under such programs;
(3) Access to additional benefits and other
				  resources; and
(4) Benefits and
				  risks of disclosure to the employer of the individual's disability.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.28 - Community Mental Health Programs-Mental Health Vocational Programs (MHVP) › Section 10.21.28.09 - Additional Requirements - Supported Employment Model

Current through Register Vol. 51, No. 14, July 12, 2024
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 to receive information
				  regarding the individual's performance on the job; and
B. The services outlined in this
				  chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.28 - Community Mental Health Programs-Mental Health Vocational Programs (MHVP) › Section 10.21.28.10 - Additional Requirements - Agency-Sponsored Employment Model

Current through Register Vol. 51, No. 14, July 12, 2024
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 work site, which shall
				  include:
(1) Staff, on site, during the hours
				  the individual is employed, to provide:
(a)
				  Supervision;
(b) Skills
				  assessment;
(c) On-the-job
				  training; and
(d) Mentoring;
				  and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.28 - Community Mental Health Programs-Mental Health Vocational Programs (MHVP) › Section 10.21.28.11 - Discharge from Services

Current through Register Vol. 51, No. 14, July 12, 2024
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 services and referring the individual for alternative services,
				  including the criteria for discontinuing services according to this paragraph;
				  and
(c) Providing the individual
				  with information about how to reaccess services when needed; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.28 - Community Mental Health Programs-Mental Health Vocational Programs (MHVP) › Section 10.21.28.12 - Program Staff

Current through Register Vol. 51, No. 14, July 12, 2024
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 basis of a half-hour per individual receiving services, up to
				  a maximum of 40 hours per week;
(c)
				  Is available to provide MHVP administration and supervision; and
(d) May provide MHVP services;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.29 - Community Mental Health Programs-Psychiatric Rehabilitation Services for Minors › Section 10.21.29.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
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.