Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 2 › Subtitle 09 - MEDICAL CARE PROGRAMS › Chapter 10.09.89 - 1915(i) Intensive Behavioral Health Services for Children, Youth, and Families › Section 10.09.89.02 - 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(c)" means a federal waiver that
				  allows states to provide home- and community-based care to individuals who
				  would otherwise be institutionalized.
(2) "1915(i)" means the 1915(i) Community
				  Options for Children, Youth, and Families program described in this
				  chapter.
(3) "Administrative
				  services organization (ASO)" has the meaning stated in COMAR 10.09.62.01.
(4) "Behavioral Health
				  Administration (BHA)" means the Department's administration, as defined by
				  Health General Article Title XX, Annotated Code of Maryland, or its
				  designee.
(5)"Care coordinator"
				  means an individual employed through the care coordination organization that is
				  responsible for providing case management services to 1915(i) participants and
				  families as described in COMAR 10.09.90.
(6) "Caregiver" means an individual with
				  responsibility for 24-hour care and supervision of a minor.
(7) "Care coordination organization (CCO)"
				  means an entity with a minimum of 3 years of experience providing care
				  coordination services that is approved by the Department to provide case
				  management services to 1915(i) participants and their families, pursuant to
				  COMAR 10.09.90.
(8) "Child and
				  family team (CFT)" means a team of individuals selected by the participant and
				  family to work with them to design and implement the plan of care.
(9) "Core service agency (CSA)" has the
				  meaning stated in COMAR 10.21.17.
(10) "Crisis plan" means a document that is
				  developed by a CFT to address actions that need to be taken in the event that
				  an individual is experiencing a behavioral health crisis, which is included as
				  part of the plan of care.
(11)
				  "Department" means the Maryland Department of Health and Mental Hygiene (DHMH)
				  or its designee.
(12) "Department
				  of Human Resources (DHR)" has the meaning stated in Human Services Article,
				  Title 2, Annotated Code of Maryland.
(13) "Department of Public Safety and
				  Correctional Services (DPSCS)" has the meaning stated in Correctional Services
				  Article, Title 2, Annotated Code of Maryland.
(14) "Diagnostic Criteria (DC) 0-5" means a
				  system for diagnosing mental health and developmental disorders in infants and
				  toddlers.
(15) "Expressive and
				  experiential behavioral services" means the use of art, dance, music, equine,
				  horticulture, or drama to accomplish individualized goals as part of the plan
				  of care.
(16) "Family" means:
(a) One or more parents and children related
				  by blood, marriage, or adoption, and residing in the same household;
				  or
(b) A parent substitute or
				  substitutes, including informal and formal kinship caregivers as set forth in
				  Health-General Article, §20-105, Annotated Code of Maryland, and Education
				  Article, §
												7-101, Annotated Code of
				  Maryland, or legal guardians, who have responsibility for the 24 hour care and
				  supervision of a child.
(17) "Family peer support" means a service as
				  described in Regulation .09 of this chapter.
(18) "Family peer support partner" means an
				  individual providing family peer-to-peer support services.
(19) "Family support organization (FSO)"
				  means an approved entity under Regulation .09D of this chapter.
(20) "Institution for mental disease (IMD)"
				  has the meaning stated in COMAR
				  10.09.62.01B.
(21) "Local departments of social
				  services (DSS)" has the meaning stated in Human Services Article, Title 3,
				  Annotated Code of Maryland.
(22)
				  "Maryland Children's Health Program (MCHP)" has the meaning stated in COMAR
				  10.09.43.
(23) "Medical Assistance
				  Program" has the meaning stated in COMAR 10.67.02.
(24) "Mental health professional" has the
				  meaning stated in COMAR 10.21.17.02.
(25) "Natural support" means a family member,
				  friend, or community member, or organization selected by the participant or
				  family, or both, to participate on the CFT.
(26) "Participant" means an individual who
				  meets the qualifications, as specified in Regulation .03 of this chapter, for
				  benefit eligibility.
(27) "Plan of
				  care (POC)" means a written document that is:
(a) Developed by the CFT that describes the
				  services to be provided to the participant; and
(b) Approved by the Department in accordance
				  with 42 CFR §
													441.301.
(28) "Program" means the Maryland Medical
				  Assistance Program.
(29) "Provider"
				  means an individual or entity that has enrolled with the Program to provide one
				  or more benefit services covered under this chapter.
(30) "Public mental health system" means the
				  system for the delivery of mental health treatment and supports to eligible
				  individuals as described in COMAR 10.09.70.
(31) "Residential treatment center" has the
				  meaning stated in Health-General Article, §19-301, Annotated Code of
				  Maryland.
(32) "Room and board"
				  means rent or mortgage, utilities, maintenance, furnishings, and food provided
				  in or associated with an individual's place of residence.
(33) "Respite care" has the meaning stated in
				  COMAR 10.21.27.
(34) "Serious
				  emotional disturbance (SED)" has the meaning stated in COMAR
				  10.21.17.
(35) "Service area"
				  means, during the phase-in of the 1915(i), the geographic area in Maryland
				  where the 1915(i) is available.
(36) "State Plan" means the Plan described in
				  § 1902(a) of Title XIX of the Social Security Act.
(37) "Supplemental Security Income (SSI)"
				  means a federally administered program providing benefits to needy aged, blind,
				  and disabled individuals under Title XVI of the Social Security Act,
				  42 U.S.C. §
												1381 et seq.