Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 2 › Subtitle 09 - MEDICAL CARE PROGRAMS › Chapter 10.09.33 - Health Homes › Section 10.09.33.01 - 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 service 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) "Care
				  management tool" means a system that helps accomplish administrative tasks of
				  the health home, including maintaining a list of health home participants and
				  scheduling and tracking participants' clinical appointments.
(3) "Care plan" means a written plan of
				  action that is developed and modified to address a patient's specific
				  behavioral, somatic, and social service needs, which is maintained in the
				  individual's medical record and satisfies the following conditions:
(a) Meets the requirements of COMAR
				  10.47.01.04C;
				  or
(b) Meets the requirements of
				  COMAR 10.21.21.06C.
(4) "Caregiver" means a
				  family member, guardian, or other individual who is not paid to provide care to
				  the participant and who helps the participant achieve and maintain
				  wellness.
(5) "Chesapeake Regional
				  Information System for Our Patients (CRISP)" means the electronic notification
				  system health home providers are required to use in order to access participant
				  hospital encounter data.
(6)
				  "Department" means the Department of Health and Mental Hygiene, the State
				  agency designated to administer the Maryland Medical Assistance Program under
				  Title XIX of the Social Security Act,
				  42 U.S.C §
												1396 et seq.
(7) "eMedicaid" means the health information
				  system in which a health home provider will input information regarding
				  participants' services and health and social outcomes.
(8) "Full-time equivalent (FTE)" means an
				  employee who works 40 hours per week.
(9) "Health home" means a provider designated
				  to offer enhanced care coordination and management services to individuals
				  affected by, or at risk for, chronic conditions, operating under the conditions
				  of this chapter.
(10) "HIT" means
				  health information technology.
(11)
				  "Managed care organization (MCO)" has the meaning stated in Health-General
				  Article, §15-101, Annotated Code of Maryland.
(12) "Medical Assistance Program" has the
				  meaning stated in COMAR 10.09.36.01.
(13) "Mental health case management" means
				  services covered under COMAR 10.09.45 which assist participants in gaining
				  access to the full range of mental health services, and necessary medical,
				  social, financial assistance, counseling, educational, housing, and other
				  support services.
(14) "Minor"
				  means an individual who is younger than 18 years old.
(15) "Mobile treatment services (MTS)
				  program" means a program approved under COMAR 10.63.03.04.
(16) "Opioid treatment program (OTP)",
				  formerly referred to as opioid maintenance therapy (OMT) programs, means a
				  program approved to provide opioid maintenance therapy under COMAR 10.63.03.19.
(17) "Participant" means an
				  individual enrolled in a health home funded by the Medical Assistance
				  Program.
(18) "Provider" means an
				  individual, association, partnership, corporation, unincorporated group, or any
				  other person authorized, licensed, or certified to provide health
				  services.
(19) "Psychiatric
				  rehabilitation program (PRP)" means a program approved under COMAR
				  10.63.03.09 for adults, COMAR
				  10.63.03.10 for minors, or
				  both.