Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 2 › Subtitle 09 - MEDICAL CARE PROGRAMS › Chapter 10.09.90 - Mental Health Case Management: Care Coordination for Children and Youth › Section 10.09.90.02 - 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) "1915(i)" means the 1915(i) Intensive
				  Behavioral Health Services for Children, Youth, and Families program defined in
				  COMAR 10.09.89.
(2) "Care
				  coordination" means services which assist participants in gaining access to a
				  full range of behavioral health services and, as necessary, any medical,
				  social, financial assistance, counseling, educational, housing, and other
				  support services.
(3) "Care
				  coordination organization (CCO)" means an entity with a minimum of 3 years of
				  experience providing care coordination services that:
(a) Are approved by the Department under this chapter;
				  and
(b) Meet the requirements of
				  COMAR 10.09.89 to provide care coordination to participants in the 1915(i)
				  Intensive Behavioral Health Services for Children, Youth, and Families
				  program.
(4) "Care
				  coordinator" means an individual employed through the care coordination
				  organization who is responsible for providing care management services to
				  benefit participants and families, including, but not limited to:
(a) Coordination of child and family team
				  meetings; and
(b) Completion of
				  the initial and revised plan of care.
(5) "Child and family team (CFT)" means the group of individuals,
				  including both formal and informal supports and inclusive of the youth and the
				  youth's family, responsible for the creation and implementation of the plan of
				  care.
(6) "Co-occurring disorder"
				  means a diagnosis based on the current Diagnostic and Statistical Manual
				  published by the American Psychiatric Association where the participant is
				  indicated as having both a mental illness and substance use disorder.
(7) "Core service agency" has the meaning
				  stated in COMAR 10.21.17.
(8)
				  "Department" has the meaning stated in COMAR
				  10.09.36.01 and refers to the
				  Department or its designee.
(9)
				  "Medical Assistance Program" has the meaning stated in COMAR 10.09.36.01.
(10) "Mental Health Case
				  Management: Care Coordination for Children and Youth" has the same meaning as
				  "care coordination" as defined in this regulation.
(11) "Mental health professional" has the
				  meaning stated in COMAR 10.21.17.02.
(12) "Mental health services" means those services described in
				  COMAR 10.09.70.
(13) "Minor" means
				  a child or adolescent younger than 16 years old.
(14) "Natural supports" means any individual
				  who plays a positive, but nonprofessional, role in someone's plan of
				  care.
(15) "Participant" means an
				  individual who meets the qualifications for participation in care coordination
				  that are specified in Regulation .03 of this chapter.
(16) "Plan of care (POC)" means the
				  individualized plan for supports and services prepared according to the
				  requirements outlined in this chapter for a specific participant in care
				  coordination, including a POC developed for 1915(i) participants pursuant to
				  COMAR 10.09.89.
(17) "Program" has
				  the meaning stated in COMAR 10.09.36.01.
(18) "Provider" means the care coordination
				  provider.
(19) "Recipient" has the
				  meaning stated in COMAR 10.09.36.01.
(20) "Residential treatment center (RTC)" has
				  the meaning stated in COMAR 10.07.04.
(21) "Serious emotional disturbance (SED)"
				  has the meaning stated in COMAR 10.21.17.02.
(22) "Young adult" means an individual who is
				  18 years old or older but not older than 21 years old.