Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 2 › Subtitle 09 - MEDICAL CARE PROGRAMS › Chapter 10.09.06 - Adult Residential Substance Use Disorder Services › Section 10.09.06.02 - 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) "Accrediting body" means an entity
				  approved by the Secretary or the Secretary's designee, under Health-General
				  Article, §19-2302, Annotated Code of Maryland.
(2) "Administrative day" means a day of
				  services rendered to a participant who no longer requires the level of care the
				  provider is licensed to deliver, but still requires the level of care in an
				  ASAM Level 3.3, 3.5, or 3.7 setting.
(3) "Administrative service organization
				  (ASO)" means the entity under contract with the Department to provide
				  administrative services to operate the Maryland Public Behavioral Health
				  System.
(4) "American Society of
				  Addiction Medicine (ASAM) criteria" means an instrument designed to indicate
				  placement guidelines for admission, continued stay, and discharge of
				  individuals with a substance use disorder.
(5) "Assessment" means the process of
				  ascertaining the treatment needs of an individual seeking behavioral health
				  services.
(6) "Available" means a
				  staff member is on-site, available by phone, or on call.
(7) "Behavioral Health Administration" means
				  the administration within the Department that establishes regulatory
				  requirements that behavioral health providers are to maintain in order to
				  become certified or licensed by the Department.
(8) "Certified counselor" means a provider
				  approved by the Board of Professional Counselors and Therapists under COMAR
				  10.58.
(9) "Coordinating aftercare
				  services" means being responsible for assisting participants with resources,
				  appointments, and discharge plans.
(10) "Crisis intervention" means the methods
				  used to offer short term immediate help to individuals who have experienced an
				  event that produces mental, physical, emotional, and behavioral
				  distress.
(11) "Department" means
				  the Maryland Department of Health, which is the single State agency designated
				  to administer the Maryland Medical Assistance Program under Title XLX of the
				  Social Security Act, 42
				  U.S.C. §
												1396 et seq.
(12) "Discharge plan" means a written
				  description of specific goals and objectives to assist the participant upon
				  leaving treatment.
(13)
				  "Documentation" means the written medical record.
(14) "Evidence-based practice" means a practice
				  approved by the Behavioral Health Administration that applies to certain
				  clinical or rehabilitative interventions provided by public mental health
				  service providers.
(15) "Facility
				  director" means an individual on staff who is responsible for overseeing the
				  daily operation of the residential treatment facility.
(16) "Individualized treatment plan" means a written
				  plan that:
(a) Addresses the individual's
				  biopsychosocial needs through goals and objectives; and
(b) Is updated as needed according to the
				  treatment modality.
(17)
				  "License" means the approval issued by the Secretary or designee that permits a
				  behavioral health provider to operate in Maryland.
(18) "Licensed mental health clinician" means a staff
				  member who is eligible to provide mental health services as outlined in COMAR
				  10.09.59.04A.
(19) "Maryland Medical Assistance
				  Program" means the program of comprehensive medical and other health-related
				  care for indigent and medically indigent individuals.
(20) "Medically necessary" has the meaning stated in
				  COMAR 10.09.36.01.
(21)
				  "Participant" means an individual who is certified as eligible for, and is
				  receiving, Medical Assistance benefits.
(22) "Participant census" means a record of
				  participants actively in the care of the provider.
(23) "Program" means the Maryland Medical Assistance
				  Program.
(24) "Progress note"
				  means an objective documentation of the participant's progress in relation to
				  specific treatment goals and objectives.
(25) "Provider" means a residential treatment facility
				  that provides professionally directed evaluation, observation, medical
				  monitoring, and addiction treatment in an inpatient setting.
(26) "Substance use disorder" means a
				  maladaptive pattern of substance use leading to clinically significant
				  impairment or distress and manifested by recurrent and significant adverse
				  consequences related to the repeated use of substances.
(27) "Substance use disorder services" means the
				  services for which a participant's diagnosis and treatment provider meet the
				  criteria specified in COMAR 10.67.08 and this
				  chapter.