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10.21.10.00.htm 10.21.10.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 21 MEDICAL CARE PROGRAMS Chapter 10 Psychiatric Residential Treatment Facility (PRTF) Demonstration Waiver Providers Authority: Health-General Article, §10-901 and 15-130.1, Annotated Code of Maryland
10.21.10.01.htm 10.21.10.01. 01 Scope.. This chapter sets forth the requirements for a provider of psychiatric residential treatment facilities (PRTF) Medicaid demonstration waiver services as set forth in COMAR 10.09.79. These services are:A. Caregiver peer-to-peer support;. B. Crisis and stabilization services;. C. Expressive and experiential behavioral services;. D. Family and youth training;. E. Respite services (in-home and out-of-home) and. F. Youth peer-to-peer support..
10.21.10.02.htm 10.21.10.02. 02 Definitions.. In this chapter, terms have the meanings stated in COMAR 10.09.79..
10.21.10.03.htm 10.21.10.03. 03 Approval.. A. The Department shall grant approval to providers to be eligible to receive State and federal funds for PRTF waiver services if the provider meets the requirements set forth in this chapter.B. Application. To provide PRTF waiver services, a provider applicant shall:. 1) Submit an application to the Department;. 2) Submit the application on the form approved by the Department, with all questions answered and all required documents atta3) Attest that the provid
10.21.10.04.htm 10.21.10.04. 04 Denial, Emergency Suspension of Approval, and Disciplinary Action.. A. Denial of Approval.. 1) If the Department proposes to deny approval to an applicant under the provisions of this chapter, the Department shall give written notice of the proposed denial to the:a) Provider applicant;. b) Care management entity; and. c) Administrative service organization (ASO). 2) In the notice under §A(1) of this regulation, the Department shall include:.
10.21.10.05.htm 10.21.10.05. 05 General Conditions for PRTF Waiver Services Provider Participation.. A. A provider of PRTF waiver services shall:. 1) Provide the documentation required by the Department for initial approval and provider recertification, or as requested by the Department;2) Be approved by the Department as meeting the requirements of this chapter and COMAR 10.09.79, and being able to provide the services set forth in COMAR 10.09.79;3) Have a provider agreement in effect, to include
10.21.10.06.htm 10.21.10.06. 06 Specific Conditions for PRTF Waiver Services Providers ― Respite Services.. To be eligible to provide PRTF waiver services as a provider of in-home or out-of-home respite services under COMAR 10.09.79.06B, a provider shall:A. Meet the requirements of COMAR 10.21.27;. B. Ensure that respite care specialists are:. 1) 21 years old or older and have a high school diploma; or. 2) Between 18 and 20 years old and in possession of at least an associate or bachelor's degree from
10.21.10.07.htm 10.21.10.07. 07 Specific Conditions for PRTF Waiver Service Providers ― Caregiver Peer-to-Peer Support and Youth Peer-to-Peer Support.A. A family support organization may provide PRTF waiver services of caregiver peer-to-peer support, youth peer-to-peer support, or family and youth training. To be eligible to provide PRTF waiver services as a family support organization, the organization shall:1) Be a private, nonprofit entity designated under §501(c)3) of the Internal Revenue Service Code, a
10.21.10.08.htm 10.21.10.08. 08 Specific Conditions for PRTF Waiver Service Providers ― Family and Youth Training.. A. Family and Youth Training Providers. To provide services set forth COMAR 10.09.79.06B, a provider shall be:1) An approved waiver provider agency, including but not limited to, a family support organization; or2) An approved individual waiver service provider.. B. Qualifications to Provide Family and Youth Training Services.. 1) All family and youth training providers shall:.
10.21.10.09.htm 10.21.10.09. 09 Specific Conditions for PRTF Waiver Service Providers ― Expressive and Experiential Behavioral Services.A. Expressive and experiential behavioral services are:. 1) Art behavioral services;. 2) Dance/movement behavioral services;. 3) Equine-assisted behavioral services;. 4) Horticultural behavioral services;. 5) Music behavioral services; and. 6) Psychodrama/drama behavioral services.. B. Qualification to Provide Expressive and Experiential Behavioral Services..
10.21.10.10.htm 10.21.10.10. 10 Specific Conditions for PRTF Waiver Service Providers ― Crisis and Stabilization Services.. To provide the services set forth COMAR 10.09.79.06B, a provider shall:. A. Be an agency;. B. Have a current formal written agreement with a local core service agency to serve as a crisis response system;C. Have capacity to provide or arrange for services 24 hours a day, 7 days per week, including:. 1) Face-to-face clinical care;. 2) Psychiatric consultation; and.
10.21.10.9999.htm 10.21.10.9999. Administrative History Effective date: April 20, 2009 (36:8 Md. R. 595).
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