reglab/statecodes huggingface dataset:
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.02 - Programs Required to Be Accredited in Order to Be Licensed to Provide Community-Based Behavioral Health Services › Section 10.63.02.03 - Requirements for a Program with an Accreditation-Based License

Current through Register Vol. 51, No. 14, July 12, 2024
A. In addition to
				  complying with the requirements for licensed community-based behavioral health
				  programs specified in COMAR
				  10.63.01.05, a program with an
				  accreditation-based license to provide community-based behavioral health
				  services in Maryland shall comply with this regulation.
B. A program with an accreditation-based
				  license shall comply with the requirements and meet the standards of the
				  accreditation organization by which it is accredited.
C. The Department or its designee may enforce
				  any requirement or standard of the accreditation organization by which a
				  program is accredited.
D. In
				  addition to the post-licensing inspections provided for in COMAR
				  10.63.01.05B, a
				  program with an accreditation-based license shall be subject to inspection by
				  the Department or its designees in cases in which significant concerns have
				  been raised regarding operation of the program or the organization that
				  accredited the program, in order to:
(1)
				  Determine compliance with a requirement under its accreditation;
(2) Follow-up on any problem identified by
				  the accreditation organization that accredited the program; or
(3) Validate the findings of the
				  accreditation organization that accredited the program.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.02 - Programs Required to Be Accredited in Order to Be Licensed to Provide Community-Based Behavioral Health Services › Section 10.63.02.04 - Halfway House and Group Home Sites

Current through Register Vol. 51, No. 14, July 12, 2024
A licensed halfway house and group home shall ensure that
					 its sites comply with Health-General Article, §§8-406 and 10-518,
					 Annotated Code of Maryland, as follows:
A. A small halfway house or private group
				  home is considered conclusively a single-family dwelling for purposes of
				  zoning, and may be located in all residential zones;
B. A large halfway house or private group
				  home is considered conclusively a multi-family dwelling for purposes of zoning
				  and may be located in zones of similar density; and
C. A halfway house or a private group home
				  may not be made subject to any special exception, conditional use permit, or
				  procedure that differs from that required for a single-family dwelling or a
				  multi-family dwelling of similar density in the same zone.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter sets forth the descriptions of and the
					 criteria for the community behavioral health programs that are permitted to
					 operate in Maryland, so long as they have valid and current accreditation-based
					 licenses under this subtitle.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.02 - Integrated Behavioral Health Program

Current through Register Vol. 51, No. 14, July 12, 2024
A. To be licensed under this subtitle, an
				  integrated behavioral health program shall:
(1) Meet the requirements for an:
(a) Outpatient mental health center, as
				  outlined in Regulation .05 of this chapter; and
(b) Outpatient treatment level 1 program, as
				  outlined in Regulation .06 of this chapter; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.03 - Intensive Outpatient Treatment Level 2.1 Program

Current through Register Vol. 51, No. 14, July 12, 2024
A. To be licensed under this subtitle, an
				  intensive outpatient treatment level 2.1 program shall provide structured
				  outpatient substance-related disorder treatment based on a comprehensive
				  assessment, for:
(1) Individuals who meet the
				  ASAM Criteria for level 2.1; and
(2) Adults, from 9 to 20 hours weekly, and
				  individuals younger than 18 years old for 6 to 20 hours weekly.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.04 - Mobile Treatment Services Program

Current through Register Vol. 51, No. 14, July 12, 2024
In order to be licensed under this subtitle, a mobile
					 treatment services program shall:
A.
				  Provide intensive, assertive outpatient mental health treatment and support
				  services by a multidisciplinary team to an individual who is homeless or is
				  otherwise unable or unwilling to access traditional outpatient treatment
				  services as follows:
(1) Flexibly in a
				  community setting considered appropriate to the individual; and
(2) On an on-call basis, 24 hours per day, 7
				  days a week;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.05 - Outpatient Mental Health Center

Current through Register Vol. 51, No. 14, July 12, 2024
In order to be licensed under this subtitle, an outpatient
					 mental health center shall:
A. Provide
				  regularly-scheduled outpatient mental health treatment services in a
				  community-based setting;
B.
				  Provide, at a minimum, individual, group, and family therapy and medication
				  management;
C. Employ a medical
				  director, who:
(1) Is a
				  psychiatrist;
(2) Has over-all
				  responsibility for clinical services; and
(3) Is on-site at least 20 hours per week;
				  and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.06 - Outpatient Treatment Level 1 Program

Current through Register Vol. 51, No. 14, July 12, 2024
A. In order to be licensed under this
				  subtitle, an outpatient treatment level 1 program shall provide outpatient sub
				  stance-related disorder treatment based on a comprehensive assessment:
(1) For individuals who:
(a) Meet the ASAM Criteria for level
				  1;
(b) Have a physical and
				  emotional status that allows the individual to function in the individual's
				  usual environment; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.07 - Partial Hospitalization Treatment Level 2.5 Program

Current through Register Vol. 51, No. 14, July 12, 2024
A. A partial hospitalization treatment level
				  2.5 program shall provide structured outpatient substance-related disorder
				  treatment based on a comprehensive assessment for:
(1) Individuals who meet the ASAM Criteria
				  for level 2.5; and
(2) From 20 to
				  35 hours weekly.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.08 - Psychiatric Day Treatment Program (PDTP)

Current through Register Vol. 51, No. 14, July 12, 2024
In order to be licensed under this subtitle, a psychiatric
					 day treatment program (PDTP) shall:
A.
				  Provide short-term, intensive, day or evening mental health treatment and
				  support services for individuals who do not require 24-hour care;
B. Focus on the amelioration of an
				  individual's acute psychiatric symptoms; and
C. Be medically supervised and staffed by a
				  multidisciplinary treatment team that includes, at a minimum:
(1) A psychiatrist; and
(2) A registered nurse.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.09 - Psychiatric Rehabilitation Program for Adults (PRP-A)

Current through Register Vol. 51, No. 14, July 12, 2024
In order to be licensed under this subtitle, a psychiatric
					 rehabilitation program for adults (PRP-A) shall:
A. Provide community-based comprehensive
				  rehabilitation and recovery services and supports, including, but not limited
				  to:
(1) Community living skills;
(2) Activities of daily living; and
(3) Family and peer support;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.10 - Psychiatric Rehabilitation Program for Minors (PRP-M)

Current through Register Vol. 51, No. 14, July 12, 2024
A. In order to be licensed under this
				  subtitle, a psychiatric rehabilitation program for minors (PRP-M) shall provide
				  community-based comprehensive rehabilitation services and supports designed to:
(1) Promote resiliency; and
(2) Facilitate the development or restoration
				  of appropriate skills in an individual younger than 18 years old including but
				  not limited to:
(a) Self-care
				  skills;
(b) Social, peer, family,
				  and teacher interactions; and
(c)
				  Semi-independent living skills; and
(3) Promote successful integration into the
				  community and the use of community resources.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.11 - Residential-Low Intensity Level 3.1 Program

Current through Register Vol. 51, No. 14, July 12, 2024
A. In order to be licensed under this
				  subtitle, a residential-low intensity level 3.1 program shall provide
				  clinically-managed, low intensity, substance-related disorder treatment in
				  large and small halfway houses, as defined in Health-General Article,
				  §8-101, Annotated Code of Maryland, to individuals who:
(1) Meet the ASAM Criteria for level 3.1;
				  and
(2) Are capable of self-care
				  but are not ready to return to family or independent living.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.12 - Residential-Medium Intensity Level 3.3 Program

Current through Register Vol. 51, No. 14, July 12, 2024
A. In order to be licensed under this
				  subtitle, a residential-medium intensity level 3.3 program shall provide
				  clinically-managed, medium intensity, substance-related disorder treatment
				  based on a comprehensive assessment:
(1) In a
				  structured environment in combination with medium-intensity treatment and
				  ancillary services to support and promote recovery;
(2) From 20 to 35 hours weekly; and
(3) To individuals who:
(a) Meet the ASAM Criteria for level
				  3.3;
(b) Are chronic alcohol- or
				  other drug-dependent;
(c) Do not
				  need skilled nursing care;
(d) May
				  have a history of multiple admissions to substance related disorder programs
				  described in this chapter;
(e) May
				  have physical or mental disabilities resulting from a prolonged
				  substance-related disorder; and
(f)
				  Have been identified as requiring a controlled environment and supportive
				  therapy for an indefinite period of time.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.13 - Residential-High Intensity Level 3.5 Program

Current through Register Vol. 51, No. 14, July 12, 2024
A. In order to be licensed under this
				  subtitle, a residential-high intensity level 3.5 program shall provide
				  clinically-managed, high-intensity, substance-related disorder treatment
				  services based on a comprehensive assessment:
(1) In a highly-structured environment, in
				  combination with moderate- to high-intensity treatment and ancillary services
				  to support and promote recovery;
(2) For a minimum of 36 hours of therapeutic
				  activities a week;
(3) That are
				  characterized by reliance on the treatment community as a therapeutic agent;
				  and
(4) To individuals who meet the
				  ASAKI Criteria for level 3.5.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.14 - Residential-Intensive Level 3.7 Program

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  In order to be licensed under this subtitle, a residential-intensive level 3.7
				  program shall provide medically-monitored, intensive substance-related disorder
				  treatment based on a comprehensive assessment:
(1) To individuals who meet the ASAKI
				  Criteria for level 3.7;
(2) For a
				  minimum of 36 hours of therapeutic activities a week;
(3) On a planned regimen of 24-hour
				  evaluation, care, and treatment in a residential setting;
(4) In an Intermediate Care Facility Type
				  C/D; and
(5) While meeting the
				  requirements for withdrawal management services as outlined in Regulation .18
				  of this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.15 - Respite Care Services Program (RPCS)

Current through Register Vol. 51, No. 14, July 12, 2024
In order to be licensed under this subtitle, a respite care
					 services (RPCS) program:
A. Shall
				  provide short-term, in home or overnight temporary services to support an
				  individual to remain in the individual's home:
(1) Through enhanced support or a temporary
				  alternate living arrangement; or
(2) By temporarily freeing the caregiver from
				  the responsibility of caring for the individual; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.16 - Supported Employment Program (SEP)

Current through Register Vol. 51, No. 14, July 12, 2024
In order to be licensed under this subtitle, a supported
					 employment program (SEP) shall:
A.
				  Provide services designed to assist an individual to choose, obtain, and
				  maintain competitive employment; and
B. Assist an individual to obtain competitive
				  employment in an integrated work environment that provides:
(1) Compensation of at least minimum
				  wage;
(2) An individualized
				  approach that establishes an hours-per-week employment goal to maximize an
				  individual's vocational potential; and
(3) Additional supports, as needed, delivered
				  where appropriate.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.17 - Substance-Related Disorder Treatment Program in Correctional Facilities

Current through Register Vol. 51, No. 14, July 12, 2024
A substance-related disorder treatment program located in a
					 State or local correctional facility requires a license under this chapter in
					 order to operate.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.18 - Withdrawal Management Service

Current through Register Vol. 51, No. 14, July 12, 2024
A withdrawal management service is one that:
A. May be provided at one or more of the
				  following ASAM levels:
(1) Level 1-WM,
				  ambulatory withdrawal management without extended on-site monitoring;
(2) Level 2-WM, ambulatory withdrawal
				  management with extended on-site monitoring;
(3) Level 3.2-WM, clinically-managed
				  residential withdrawal management; or
(4) Level 3.7-WM, medically-monitored
				  residential withdrawal management;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.19 - Opioid Treatment Service

Current through Register Vol. 51, No. 14, July 12, 2024
An opioid treatment service is one that:
A. Complies with the requirements of 42 CFR
				  § 8 ;
B. Is under the
				  direction of a medical director who is a physician and:
(1) Has at least 3 years of documented
				  experience providing services to persons with sub stance-related disorders and
				  opioid use disorders, including at least 1 year of experience in the treatment
				  of opioid use disorder with opioid maintenance therapy and is board-certified
				  in addiction medicine or addiction psychiatry; or
(2) Is certified in added qualifications in
				  addiction psychiatry by the American Board of Psychiatry and Neurology,
				  Inc.;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.20 - Mobile Crisis Team Programs

Current through Register Vol. 51, No. 14, July 12, 2024
A. Definition.
(1) In this regulation, the following term
				  has the meaning indicated.
(2) Term
				  Defined. "Program" means the site and service combination which is recognized
				  through licensure to offer an organized system of activities performed for the
				  benefit of persons served.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.03 - Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License › Section 10.63.03.21 - Behavioral Health Crisis Stabilization Center (BHCSC) Program

Current through Register Vol. 51, No. 14, July 12, 2024
A. Definition.
(1) In this regulation, the following term
				  has the meaning indicated.
(2) Term
				  Defined. "Program" means the site and service combination which:
(a) Is recognized through licensure to offer
				  an organized system of activities to provide an alternative to emergency
				  departments for behavioral health crisis care, emergency petition assessment,
				  and avoidable inpatient or carceral engagement; and
(b) Serves as a critical access point for
				  individuals experiencing a mental health, substance use disorder, substance use
				  related, or combined crisis.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.04 - Additional Requirements for Accreditation-Based Licenses for Specific Residential Community-Based Behavioral Health Services › Section 10.63.04.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter sets forth descriptions of, criteria for, and
					 licensing requirements for, three specific programs that provide residential
					 community-based behavioral health services. These programs shall comply with
					 COMAR 10.63.01-.02, 10.63.04, and 10.63.06. Residential Rehabilitation Programs
					 shall also comply with COMAR 10.63.03.09.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.04 - Additional Requirements for Accreditation-Based Licenses for Specific Residential Community-Based Behavioral Health Services › Section 10.63.04.02 - Covered Programs

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter applies to the following programs:
A. Group Homes for Adults with Mental
				  Illness;
B. Residential Crisis
				  Services (RCS) program; and
C.
				  Residential Rehabilitation Program (RRP).
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.04 - Additional Requirements for Accreditation-Based Licenses for Specific Residential Community-Based Behavioral Health Services › Section 10.63.04.03 - Group Homes for Adults with Mental Illness

Current through Register Vol. 51, No. 14, July 12, 2024
A. In order to be licensed under this
				  subtitle, a group home for adults with mental illness shall:
(1) Meet the definition
				  in Health-General Article, §10-514(b), (d), and (e), Annotated Code of
				  Maryland;
(2) Provide a home-like,
				  supportive residential environment:
(a) In a small group
				  home, which provides services for more than 3, but not more than 8 individuals
				  with a mental health disorder; or
(b) In a large group
				  home for more than 8, but not more than 16 individuals with a mental health
				  disorder; and
(3) Meet the site
				  requirements set out in Regulation .07 of this chapter verified through an
				  annual site inspection conducted by the CSA or LBHA.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.04 - Additional Requirements for Accreditation-Based Licenses for Specific Residential Community-Based Behavioral Health Services › Section 10.63.04.04 - Residential Crisis Services (RCS)

Current through Register Vol. 51, No. 14, July 12, 2024
In order to be licensed under this subtitle, a residential
					 crisis services program:
A. Shall
				  provide short-term mental health treatment and support services in a structured
				  environment for individuals who require 24-hour supervision due to a
				  psychiatric crisis;
B. Shall be
				  designed to:
(1) Prevent psychiatric
				  inpatient admission;
(2) Shorten
				  the length of inpatient stay;
(3)
				  Effectively use general hospital emergency departments; and
(4) Provide an alternative to psychiatric
				  inpatient admission;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.04 - Additional Requirements for Accreditation-Based Licenses for Specific Residential Community-Based Behavioral Health Services › Section 10.63.04.05 - Residential Rehabilitation Program (RRP)

Current through Register Vol. 51, No. 14, July 12, 2024
In order to be licensed under this subtitle, a residential
					 rehabilitation program (RRP) shall:
A.
				  Serve individuals with a mental disorder;
B. Be operated by a licensed PRP-A;
C. Lease or own the RRP sites;
D. Be approved by BHA for RRP
				  funding;
E. Provide a home-like,
				  supportive residential environment;
F. Provide services for no more than 3
				  individuals per RRP site, unless also licensed as a group home as provided in
				  Regulation . 03 of this chapter;
G. Promote the individual's ability to engage
				  and participate in appropriate community activities;
H. Enable the individual to develop the daily
				  living skills needed for independent functioning;
I. Have:
(1) On-site staffing, as needed to meet the
				  needs of the individuals served; and
(2) Staff that are available on call, 24
				  hours per day, 7 days per week;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.04 - Additional Requirements for Accreditation-Based Licenses for Specific Residential Community-Based Behavioral Health Services › Section 10.63.04.06 - Application Requirements for a Residence to be Operated by a Program

Current through Register Vol. 51, No. 14, July 12, 2024
A program seeking a license under this subtitle for a
					 residential site shall submit to the CSA or LBHA a completed application
					 that:
A. Is on the form required by
				  the Administration with all required documents attached; and
B. Includes documentation that the residence:
(1) Is owned or leased by the applicant;
				  or
(2) Will be owned or leased by
				  the applicant; and
(3) Is located
				  in a building that will have continuous fire, liability, and hazard insurance
				  coverage.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.04 - Additional Requirements for Accreditation-Based Licenses for Specific Residential Community-Based Behavioral Health Services › Section 10.63.04.07 - Residential Site Requirements

Current through Register Vol. 51, No. 14, July 12, 2024
A program licensed to provide community-based behavioral
					 health residential services under this chapter shall ensure that:
A. All areas of a residence, including
				  storage areas:
(1) Are safe;
(2) Clean; and
(3) Free of hazards and clutter;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.05 - Descriptions and Criteria for Programs Requiring a Non-Accreditation-Based License › Section 10.63.05.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter sets forth the descriptions of, and the
					 criteria for, community behavioral health programs that are permitted to
					 operate in Maryland so long as they have valid and current
					 non-accreditation-based licenses under this subtitle. The program shall also
					 meet the requirements of COMAR 10.63.01, 10.63.05-10.63.06.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.05 - Descriptions and Criteria for Programs Requiring a Non-Accreditation-Based License › Section 10.63.05.02 - Requirements for Non-Accreditation Based Licenses

Current through Register Vol. 51, No. 14, July 12, 2024
To operate in Maryland, the programs described in this
					 chapter shall have a valid and current non-accreditation-based license to
					 provide community-based behavioral health services.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.05 - Descriptions and Criteria for Programs Requiring a Non-Accreditation-Based License › Section 10.63.05.03 - Covered Programs

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter applies to the following programs:
A. Substance-Related Disorder Assessment and
				  Referral Program;
B. DUIE ducation
				  Program; and
C. Early Intervention
				  Level 0.5 programs.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.05 - Descriptions and Criteria for Programs Requiring a Non-Accreditation-Based License › Section 10.63.05.04 - Substance-Related Disorder Assessment and Referral Program

Current through Register Vol. 51, No. 14, July 12, 2024
To be licensed under this subtitle, a substance-related
					 disorder assessment and referral program shall:
A. Be operated by a State or local government
				  entity;
B. Provide a comprehensive
				  assessment of an individual's current status and relevant history in the
				  following areas:
(1) Alcohol, tobacco, and
				  other drug use (ATOD);
(2)
				  Employment or financial support;
(3) Gambling behavior;
(4) ATOD and gambling treatment
				  history;
(5) Mental
				  health;
(6) Legal
				  involvement;
(7) Family and social
				  systems;
(8) Educational
				  involvement; and
(9) Somatic
				  health, including a review of medication;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.05 - Descriptions and Criteria for Programs Requiring a Non-Accreditation-Based License › Section 10.63.05.05 - DUI Education Program

Current through Register Vol. 51, No. 14, July 12, 2024
To be licensed under this subtitle, a DUI education program
					 shall:
A. Provide services to
				  individuals convicted under Transportation Article, §
										21-902, Annotated Code
				  of Maryland, and ordered under Criminal Procedure Article, §
										6-219, to attend
				  an education program;
B. Provide a
				  comprehensive assessment, unless the participant has received an assessment by
				  a licensed or certified clinician, or licensed program within the preceding 45
				  days, of a participant's current status and relevant history in the following
				  areas:
(1) Alcohol, tobacco, and other drug
				  use (ATOD);
(2). Employment or
				  financial support;
(3) Gambling
				  behavior;
(4) ATOD and gambling
				  treatment history;
(5) Mental
				  health;
(6) Legal
				  involvement;
(7) Family and social
				  systems;
(8) Educational
				  involvement; and
(9) Somatic
				  health, including a review of medications;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.05 - Descriptions and Criteria for Programs Requiring a Non-Accreditation-Based License › Section 10.63.05.06 - Early Intervention Level 0.5 Program

Current through Register Vol. 51, No. 14, July 12, 2024
To be licensed under this subtitle, an early intervention
					 level 0.5 program shall:
A. Provide
				  services to individuals:
(1) Who meet the
				  ASAM Criteria for level. 05;
(2)
				  For whom a diagnosable substance-related disorder is not documented;
				  and
(3) Who are, for a known
				  reason, at risk for developing a substance-related disorder;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.05 - Descriptions and Criteria for Programs Requiring a Non-Accreditation-Based License › Section 10.63.05.07 - Requirements for Programs Requiring Non-Accreditation-Based Licenses

Current through Register Vol. 51, No. 14, July 12, 2024
A. The provisions
				  of this regulation apply to a program with a community-based behavioral health
				  license that does not require accreditation.
B. Participant Rights.
(1) A program shall:
(a) Treat each participant with
				  consideration, respect, and full recognition of the participant's human dignity
				  and individuality;
(b) Provide care
				  and services that are adequate, appropriate, and in compliance with relevant
				  State, local, and federal laws and regulations;
(c) Prohibit physical or mental abuse by the
				  program staff;
(d) Provide an
				  atmosphere free from discrimination;
(e) Prohibit use of any physical
				  restraints;
(f) Ensure privacy and
				  confidentiality; and
(g) Permit the
				  participant to refuse to participate in any research.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.06 - Application and Licensure Process › Section 10.63.06.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter sets forth the processes governing application
					 for accreditation-based and non-accreditation-based licenses to provide
					 community-based behavioral health services, issuance and parameters of the
					 license, and sanctioning of licensees.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.06 - Application and Licensure Process › Section 10.63.06.02 - License Application Process for All Community-Based Behavioral Health Programs

Current through Register Vol. 51, No. 14, July 12, 2024
A. An
				  applicant for a license, whether accreditation or non-accreditation-based, to
				  provide community-based behavioral health services shall:
(1) Use the application form required by the
				  Department;
(2) Include the
				  following information with the application:
(a) Verification that the program complies
				  with the program descriptions and criteria set out in this subtitle;
(b) Attestation of compliance with relevant
				  federal, State, or local ordinances, laws, regulations, and orders governing
				  the program;
(c) Disclosure of the
				  following:
(i) Any revocation of a license,
				  certificate, or approval issued within the previous 10 years from any in-State
				  or out-of-State provider previously or currently associated with the applicant,
				  including deficiency reports and compliance records;
(ii) Whether the applicant, or a program,
				  corporation, or provider previously or currently associated with the applicant,
				  has surrendered or defaulted on its license, certificate, or approval for
				  reasons related to disciplinary action, within the previous 10 years;
(iii) The identity of any
				  individual who has served as a corporate officer for the provider who has had a
				  license, certificate or approval revoked, or has surrendered or defaulted on an
				  approval license, certificate or approval, for reasons related to disciplinary
				  action, within the previous 10 years; and
(iv) Any criminal conviction of the
				  applicant, or the owner, program director, or other staff of the
				  applicant;
(3) Include the following documents with the
				  application:
(a) A copy of the agreement to
				  cooperate between the program and the CSA, LAA, or LBHA, as
				  appropriate;
(b) Copies of all
				  applicable permits required by local jurisdictions, including fire, safety, and
				  health, for each proposed site, if the program will provide services at a site
				  whose primary function is the delivery of behavioral health services;
				  and
(c) All documentation
				  supporting or demonstrating the information disclosed under §A(2)(c) of
				  this regulation;
(4)
				  Include any other information considered necessary and requested by the
				  Department; and
(5) Submit the
				  completed application to the Department's designated approval unit,
				  identifying:
(a) The services that the
				  applicant would provide if licensed; and
(b) The physical sites where the services
				  would be provided;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.06 - Application and Licensure Process › Section 10.63.06.03 - Additional Application Requirements for Licenses Requiring Accreditation

Current through Register Vol. 51, No. 14, July 12, 2024
A. In addition to
				  the application requirements for all community-based behavioral health services
				  licenses, the provisions of this regulation apply to all applicants for
				  licenses to provide community-based behavioral health services, if the license
				  is required by this subtitle to be accreditation-based.
B. A program applying for an
				  accreditation-based license to provide community-based behavioral health
				  services shall submit with the program's application:
(1) The program's most recent behavioral
				  health accreditation survey report;
(2) Any corrective action plans required by
				  the behavioral health accreditation organization survey report of the program;
				  and
(3) The final letter or
				  certificate issuing accreditation for the program.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.06 - Application and Licensure Process › Section 10.63.06.04 - Additional Application Requirements for Licenses Not Requiring Accreditation

Current through Register Vol. 51, No. 14, July 12, 2024
A. In
				  addition to the application requirements for all community-based behavioral
				  health services licenses, the provisions of this regulation apply to all
				  applicants for licenses to provide community-based behavioral health services,
				  if the license is permitted by this subtitle to be
				  non-accreditation-based.
B. A
				  program applying for a non-accreditation-based license to provide
				  community-based behavioral health services shall pass an inspection by the
				  Department, or its designee, of all of the program's sites before issuance of
				  the license;
C. The on-site
				  inspection conducted under §B of this regulation shall include:
(1) A tour of the physical plant for safety
				  and quality and compliance with regulations and codes;
(2) Interviews with the staff to verify
				  training and competencies; and
(3)
				  A review of emergency and disaster preparedness systems.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.06 - Application and Licensure Process › Section 10.63.06.05 - Issuance and Duration of Accreditation-Based and Non- Accreditation-Based Licenses

Current through Register Vol. 51, No. 14, July 12, 2024
A. If the
				  Department's designated approval unit determines that a program is eligible for
				  a license to provide community-based behavioral health services, whether
				  accreditation-based or non-accreditation-based, the Department's designated
				  approval unit shall issue a license to the program that specifies the:
(1) Programs that the applicant is licensed
				  to provide, including the addresses of all sites where the services will be
				  provided;
(2) Duration of the
				  licensure period:
(3) Name of the
				  accreditation organization, if applicable; and
(4) Date of issue.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.06 - Application and Licensure Process › Section 10.63.06.06 - Denial of License to Provide Community-Based Behavioral Health Services

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Department
				  may deny a license to provide community-based behavioral health services to:
(1) An applicant, if the Department's
				  designated approval unit determines that the application does not meet the
				  licensure requirements;
(2) An
				  applicant that has had a license or approval revoked by the Department or other
				  licensing agency, or has surrendered or defaulted on its license or other
				  approval for reasons related to disciplinary action, within the previous 10
				  years;
(3) An applicant that has an
				  officer who has served as an officer for a provider that has had a license
				  revoked, or has surrendered or defaulted on its license or other approval for
				  reasons related to disciplinary action, within the previous 10 years;
				  or
(4) Any program that
				  discontinues operations without complying with Regulation .10 of this
				  chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.06 - Application and Licensure Process › Section 10.63.06.07 - License Modification

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  program may not change its program sites by adding, closing, or moving
				  locations without prior approval from the Department's designated approval
				  unit.
B. To request a change in its
				  program sites by adding, closing, or moving locations, a licensed program shall
				  submit to the Department's designated approval unit:
(1) An application modification on the form
				  required by the Department;
(2)
				  Evidence that the program has notified the appropriate accreditation
				  organization of the proposed program modification, if the program has an
				  accreditation-based license;
(3)
				  Evidence that the program has notified the appropriate CSA, LAA, or LBHA of the
				  proposed program modification;
(4)
				  Evidence that the program has notified the program participants of any proposed
				  change in program site; and
(5)
				  Copies of all applicable permits required by local jurisdictions, including
				  fire, safety, and health, for each proposed site, if the program will provide
				  services at a site whose primary function is the delivery of behavioral health
				  services.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.06 - Application and Licensure Process › Section 10.63.06.08 - Waivers and Variances

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Waivers. The Administration may not grant waivers of:
(1) The requirements of any regulation
				  adopted under this subtitle; or
(2)
				  Any accreditation standard.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.06 - Application and Licensure Process › Section 10.63.06.09 - Sale or Transfer of License to Provide Community-Based Behavioral Health Services

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  license of a program to provide community-based behavioral health services
				  shall be valid only for the program and address for which the license is
				  issued.
B. If the sale or transfer
				  of a program causes a change in ownership, the program:
(1) May not sell, assign, or transfer its
				  license; and
(2) Shall apply for
				  and receive a new license to operate in Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.06 - Application and Licensure Process › Section 10.63.06.10 - Discontinuation of Program Operations

Current through Register Vol. 51, No. 14, July 12, 2024
A. If a program licensed to provide
				  community-based behavioral health services intends to discontinue operations,
				  the program director shall, no less than 60 calendar days before the program
				  intends to discontinue operations, submit to the Department's licensure unit,
				  the Administration, and the CSA, LAA, or LBHA, as appropriate, its written plan
				  for:
(1) Cessation of operations, including
				  relevant dates;
(2) Informing
				  participants in the program or their guardians of the planned discontinuation
				  and of other behavioral health service options;
(3) Transitioning participants in the program
				  to other behavioral health services;
(4) Storing and protecting all records;
				  and
(5) Notifying employees,
				  contractors, consultants, and consumers of its cessation of
				  operations.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.06 - Application and Licensure Process › Section 10.63.06.11 - Summary Suspension

Current through Register Vol. 51, No. 14, July 12, 2024
A. Upon
				  finding that a program licensed under this chapter has violated a regulation
				  and that the public health, safety, or welfare imperatively requires emergency
				  action, the Department may order the immediate suspension of the license of the
				  program and the immediate cessation of the program's operation.
B. Following the summary suspension of the
				  license of the program, and under State Government Article, §
										10-226(c)(2),
				  Annotated Code of Maryland, the Department shall deliver a written notice to
				  the program that includes:
(1) The facts
				  supporting the finding that the public health, safety, or welfare imperatively
				  require the emergency action; and
(2) Notice that the program may request a
				  hearing under Regulation .19 of this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 63 - COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES › Chapter 10.63.06 - Application and Licensure Process › Section 10.63.06.12 - Notice of Deficiencies

Current through Register Vol. 51, No. 14, July 12, 2024
A. If
				  the Department determines that a program licensed under this chapter has
				  violated any provision of this chapter, but does not summarily suspend the
				  program, the Department's designated approval unit shall provide the program
				  with a notice of deficiencies.
B.
				  In the notice of deficiencies, the Department's designated approval unit shall
				  list each failure to comply with a requirement, including identifying the
				  requirement and the basis for the finding.
C. Plan of Correction.
(1) The program shall submit a plan of
				  correction to the Department's designated approval unit within 10 working days
				  of receipt of the notice of deficiencies, stating how and when each failure to
				  comply shall be corrected.
(2) The
				  Department's designated approval unit may require that the POC be submitted
				  sooner than 10 working days when the nature of the noncompliance warrants a
				  more immediate response, as determined by the Department's designated approval
				  unit.
(3) The director of the
				  Department's designated approval unit may grant an extension of not more than
				  30 days for the submission of the POC.