Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 2 › Subtitle 09 - MEDICAL CARE PROGRAMS › Chapter 10.09.45 - Mental Health Case Management › Section 10.09.45.02 - 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) "Administrative services organization
				  (ASO)" means the entity with which the Mental Hygiene Administration may
				  contract to provide the services described in COMAR 10.09.70 for the public
				  mental health system.
(2) "Adult"
				  means an individual 18 years and older
(3) "Care plan" means the plan prepared
				  according to the requirements outlined in this chapter that delineate the plan
				  of care for a specific participant.
(4) "Case manager" means a community support
				  specialist.
(5) "Community support
				  specialist" means an individual who is employed by a mental health case
				  management provider to deliver case management services to
				  participants.
(6) "Community
				  support specialist associate" means an individual who is employed by a mental
				  health case management provider to assist community support specialists in the
				  provision of mental health case management services to participants.
(7) "Community support specialist supervisor"
				  means an individual who is employed or under contract to supervise case
				  management services.
(8) "Core
				  service agency (CSA)" has the meaning stated in COMAR 10.21.17.
(9) "Department" has the meaning stated in
				  COMAR 10.09.36.01.
(10) "Medical
				  Assistance Program" has the meaning stated in COMAR 10.09.36.01.
(11) "Mental health case management provider"
				  means a provider that:
(a) Is approved under
				  this chapter to provide mental health case management services to adults 18
				  years or older; and
(b) Utilizes a
				  collaborative process of assessment, planning, implementation, coordination,
				  monitoring, and evaluation of the options and services required to meet an
				  individual's health needs through communication and available resources to
				  promote quality cost-effective outcomes.
(12) "Mental health case management services"
				  means services covered under this chapter which assist participants in gaining
				  access to the full range of mental health services, as well as to any
				  additional needed medical, social, financial assistance, counseling,
				  educational, housing, and other support services.
(13) "Mental health professional" has the
				  meaning stated in COMAR 10.21.17.
(14) "Mental health services" means those
				  services described in COMAR 10.09.70.10C rendered to treat an individual for a
				  diagnosis set forth in COMAR 10.09.70.10A.
(15) "Mental Hygiene Administration (MHA)"
				  means the Department's administration that is charged with the responsibility
				  for providing services to mentally ill individuals, as defined in
				  Health-General Article, Title 10, Annotated Code of Maryland.
(16) "Nonparticipant" means an individual who
				  does not meet the qualifications for participation in mental health case
				  management that are specified in Regulation .03 of this chapter.
(17) "Participant" means an individual who
				  meets the qualifications for participation in mental health case management
				  that are specified in Regulation .03 of this chapter.
(18) "Program" has the meaning stated in
				  COMAR 10.09.36.01.
(19) "Provider"
				  means the mental health case management services provider.
(20) "Recipient" has the meaning stated in
				  COMAR 10.09.36.01.
(21) "Serious
				  and persistent mental disorder" means a disorder that is:
(a) Manifested in an individual 18 years old
				  or older; and
(b) Diagnosed,
				  according to a current diagnostic and statistical manual of the American
				  Psychiatric Association that is recognized by the Secretary as:
(i) Schizophrenic disorder;
(ii) Major affective disorder;
(iii) Other psychotic disorder; or
(iv) Borderline or schizotypal personality
				  disorders, with the exclusion of an abnormality that is manifested only by
				  repeated criminal or otherwise antisocial conduct.
(22) "Unit of service" means a per
				  day rate for a minimum of 1 hour per day for contacts, including face-to-face
				  contacts with a participant, and non-face-to-face contacts on behalf of the
				  participant with nonparticipants, that are directly related to identifying the
				  needs and supports for helping the individual to access services.