Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 2 › Subtitle 09 - MEDICAL CARE PROGRAMS › Chapter 10.09.59 - Specialty Mental Health Services › Section 10.09.59.01 - 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 contactor procured by the State to provide the Department with
				  administrative support services to operate the Maryland Public Behavioral
				  Health System.
(2) "Definitive drug
				  test" means a drug screening test that includes:
(a) The ability to identify individual drugs
				  and distinguish between structural isomers, but not necessarily stereoisomers,
				  using gas chromatography or mass spectrometry and liquid chromatography or mass
				  spectrometry;
(b) Qualitative or
				  quantitative results;
(c) All
				  source types for specimen selection; and
(d) Specimen validity testing, per day, 1-22
				  or more drug classes including metabolites, if performed.
(3) "Department" means the Department of
				  Health and Mental Hygiene, as defined in COMAR
				  10.09.36.01, or its authorized
				  agents acting on behalf of the Department.
(4) "Hospital" means an institution which:
(a) Falls within the jurisdiction of
				  Health-General Article, Title 19, Subtitle 3, Annotated Code of Maryland; and
(b) Is licensed under COMAR
				  10.07.01 or is licensed by the state in which the service is
				  provided.
(5) "Medicaid
				  Emergency Psychiatric Demonstration" means the federal demonstration program
				  established under Section 2707o f the Patient Protection and Affordable Care
				  Act.
(6) "Medical Assistance" has
				  the meaning stated in COMAR 10.09.24.02.
(7) "Medically necessary" has the meaning
				  stated in COMAR 10.09.36.01.
(8)
				  "Medicare" means the insurance program administered by the federal government
				  under Title XVIII of the Social Security Act,
				  42 U.S.C. §
												1395 et seq.
(9) "Office of Health
				  Care Quality" means the office within the Department responsible for the
				  certification and inspection of programs.
(10) "Participant" means an individual who is
				  certified as eligible for, and is receiving, medical assistance benefits.
(11) "Presumptive drug test" means
				  a drug screening test that includes:
(a) Any
				  number of drug classes;
(b) Any
				  number of devices;
(c) The use of
				  direct optical observation, instrument assisted direct optical observation or
				  instrumented chemistry analyzers; and
(d) Sample validation.
(12)
				  "Program" has the meaning stated in COMAR 10.09.36.01.
(13) "Provider" means an organization or an
				  individual practitioner furnishing the services covered under this chapter
				  which, through appropriate agreement with the Department, has been identified
				  as a Program provider by the issuance of a provider account number.
(14)
				  "Public Behavioral Health System" means the system that provides medically
				  necessary behavioral health services, including mental health and substance use
				  disorder services, for Medical Assistance participants and certain other
				  uninsured individuals.
(15) "Specialty
				  mental health services" means services for which a participant's diagnosis and
				  treatment provider meet the criteria specified in COMAR 10.09.70 and this
				  chapter.