Md. Code Regs. 10.09.45.02

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.09.45.02 - Definitions

A. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

(1) "Administrative services 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) "Adult" means an individual 18 years and older

(3) "Care plan" means the plan prepared according to the requirements outlined in this chapter that delineate the plan of care for a specific participant.

(4) "Case manager" means a community support specialist.

(5) "Community support specialist" means an individual who is employed by a mental health case management provider to deliver case management services to participants.

(6) "Community support specialist associate" means an individual who is employed by a mental health case management provider to assist community support specialists in the provision of mental health case management services to participants.

(7) "Community support specialist supervisor" means an individual who is employed or under contract to supervise case management services.

(8) "Core service agency (CSA)" has the meaning stated in COMAR 10.21.17.

(9) "Department" has the meaning stated in COMAR 10.09.36.01.

(10) "Medical Assistance Program" has the meaning stated in COMAR 10.09.36.01.

(11) "Mental health case management provider" means a provider that:

(a) Is approved under this chapter to provide mental health case management services to adults 18 years or older; and

(b) Utilizes a collaborative process of assessment, planning, implementation, coordination, monitoring, and evaluation of the options and services required to meet an individual's health needs through communication and available resources to promote quality cost-effective outcomes.

(12) "Mental health case management services" means services covered under this chapter which assist participants in gaining access to the full range of mental health services, as well as to any additional needed medical, social, financial assistance, counseling, educational, housing, and other support services.

(13) "Mental health professional" has the meaning stated in COMAR 10.21.17.

(14) "Mental health services" means those services described in COMAR 10.09.70.10C rendered to treat an individual for a diagnosis set forth in COMAR 10.09.70.10A.

(15) "Mental Hygiene Administration (MHA)" means the Department's administration that is charged with the responsibility for providing services to mentally ill individuals, as defined in Health-General Article, Title 10, Annotated Code of Maryland.

(16) "Nonparticipant" means an individual who does not meet the qualifications for participation in mental health case management that are specified in Regulation .03 of this chapter.

(17) "Participant" means an individual who meets the qualifications for participation in mental health case management that are specified in Regulation .03 of this chapter.

(18) "Program" has the meaning stated in COMAR 10.09.36.01.

(19) "Provider" means the mental health case management services provider.

(20) "Recipient" has the meaning stated in COMAR 10.09.36.01.

(21) "Serious and persistent mental disorder" means a disorder that is:

(a) Manifested in an individual 18 years old or older; and

(b) Diagnosed, according to a current diagnostic and statistical manual of the American Psychiatric Association that is recognized by the Secretary as:

(i) Schizophrenic disorder;

(ii) Major affective disorder;

(iii) Other psychotic disorder; or

(iv) Borderline or schizotypal personality disorders, with the exclusion of an abnormality that is manifested only by repeated criminal or otherwise antisocial conduct.

(22) "Unit of service" means a per day rate for a minimum of 1 hour per day for contacts, including face-to-face contacts with a participant, and non-face-to-face contacts on behalf of the participant with nonparticipants, that are directly related to identifying the needs and supports for helping the individual to access services.

Md. Code Regs. 10.09.45.02

Regulations .02 amended effective 41:19 Md. R. 1077, eff.10/1/2014