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10.21.17.00.htm 10.21.17.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 21 MENTAL HYGIENE REGULATIONS Chapter 17 Community Mental Health Programs ― Definitions and Administrative Requirements Authority: Health-General Article, §10-901 and 10-902, Annotated Code of Maryland
10.21.17.01.htm 10.21.17.01. 01 Scope.. This chapter delineates the administrative requirements for a community mental health program..
10.21.17.02.htm 10.21.17.02. 02 Definitions.. A. In COMAR 10.21.16 and subsequent community mental health program chapters, the following terms have the meanings indicated.B. Terms Defined.. 1) "Ability to pay" means the individual's ability to pay for mental health services, as determined according to the provisions of COMAR 10.04.02.2) "Administration" means the Mental Hygiene Administration.. 3) "Administrative services organization (ASO) means the entity with which the Administration may co
10.21.17.03.htm 10.21.17.03. 03 Authorization and Payment.. A. Authorization for Services.. 1) The program shall comply with the provisions of this regulation when the program provides services to:a) A Medicaid recipient; or. b) An individual for whom, because of the severity of the mental illness and, based on the Administration's determination of the individual's ability to pay, the cost of care is subsidized, wholly or in part, through the public mental health system.2) Before rendering servi
10.21.17.04.htm 10.21.17.04. 04 Consent for Services, Orientation, and Advance Directive for Mental Health Services.. A. Consent for Services.. 1) Before initiating services to an individual, a program shall:. a) Obtain consent from the individual to:. i) Render services to the individual; and. ii) Involve, as appropriate, the appropriate CSA, the individual's family members, and others designated by the individual in the individual's service process;b) Review with the individual:. i) That the program may d
10.21.17.05.htm 10.21.17.05. 05 Advisory Committee.. A. Membership. A provider that is approved by the Department under this subtitle to operate a program shall have an advisory committee that is composed of members:1) That reflect the cultural and ethnic profile of the community or communities being served; and. 2) At least one-third of whom are individuals who identify themselves as being in one of the following categories:a) Currently served or were previously served by a mental health program;.
10.21.17.06.htm 10.21.17.06. 06 Collaboration with Core Service Agency (CSA). The program director shall:. A. Submit annually to the CSA, or, when providing services in multiple jurisdictions, the lead CSA, and the Community Services Reimbursement Rate Commission, an annual summary that, at a minimum, includes:1) Relevant financial statements or documentation and results of a financial audit;. 2) Wage and benefit information for each job classification, including, but not limited to:. a) Administrative staff;.
10.21.17.07.htm 10.21.17.07. 07 Program Model.. A. A community mental health program shall develop a program model that promotes recovery and resiliency as required according to the chapter under this subtitle for the specific program.B. The program director shall ensure that information and services are provided:. 1) In a culturally sensitive manner; and. 2) At a suitable reading comprehension level..
10.21.17.08.htm 10.21.17.08. 08 Records.. A. General Requirements.. 1) The program shall, either manually or electronically:. a) Establish a record for an individual who receives services from the program; and. b) Ensure that entries in the record are dated, signed, and include the signer's degree or license, or if the signer has no degree or license, the signer's staff position.2) The program director shall ensure that individuals' program records are:. a) Maintained in a manner that is consistent with
10.21.17.09.htm 10.21.17.09. 09 Policies and Procedures.. A. The program shall have and maintain written policies that, at a minimum include:. 1) The program's mission and goals;. 2) A description of the organizational structure of the program;. 3) Identification of the duties of the program director and, if applicable, the medical director or clinical director; and4) The policies and procedures for:. a) Ensuring individual rights, including confidentiality, and providing a complaint process;.
10.21.17.10.htm 10.21.17.10. 10 Discharge from Services.. A. When an individual has attained the goals identified in the individual's service plan, the individual's program coordinator shall begin the process for discharge planning.B. Discharge Policy. The program shall have and maintain written policies and procedures, which may be contained in one document, that include:1) The process for all types of discharge from the program, including:. a) Collaborative discharge;.
10.21.17.11.htm 10.21.17.11. 11 Human Resource Development.. A. Supervision. The program director shall:. 1) Establish a system to ensure ongoing supervision of staff; and. 2) Determine the need for staff supervision on the basis of:. a) Credentials, competencies, experience, education, and training;. b) Performance standards and outcome measures identified by the quality management process;. c) Size of caseload; and. d) Severity of illness of individuals enrolled in the program..
10.21.17.12.htm 10.21.17.12. 12 Quality Management (QM). A. A program shall establish and maintain a QM process in accordance with the requirements of this regulation.B. QM Plan. The program director shall develop and, at least every 3 years, review a written QM plan that:1) Provides for an internal, ongoing quality performance evaluation process that describes the:. a) Program goals; and. b) Mechanisms, including staff responsible and resources available, for implementing the QM process;.
10.21.17.13.htm 10.21.17.13. 13 Reports of Death.. Upon notification of the death of any individual in a State funded or operated program or facility, the administrative head of the program or facility shall:A. Report the death according to the provisions of Health-General Article, §10-714(a) Annotated Code of Maryland; andB. Use the form required by the Administration..
10.21.17.14.htm 10.21.17.14. 14 Staff Credentials, Competencies, and Privileges.. A. The program director shall ensure that staff and consultants perform only those duties for which the staff and consultants have the appropriate credentials and competencies according to the provisions of this regulation.B. Staff Credentials. The program director shall ensure that the program has in effect a process for reviewing credentials that requires the program to collect, verify, review, and document the follow
10.21.17.15.htm 10.21.17.15. 15 Rights.. A. A program shall:. 1) Explain to an individual enrolled in a program the individual's rights as set forth in Health-General Article, Title 10, Subtitle 7, and Title 4, Subtitle 3, Annotated Code of Maryland;2) Provide, in writing, information regarding an individual's rights as outlined in §A of this regulation to an individual enrolled in a program; and3) Prominently display, in accessible centralized locations, the individual's rights as outlined in
10.21.17.16.htm 10.21.17.16. 16 Complaints.. A. A program shall develop and implement an internal process for the prompt and objective resolution of complaints related to services provided that may be presented by an individual.B. The program shall prominently display, in accessible centralized locations, the written description of the complaint process.C. A program shall:. 1) Prepare the document describing the program's complaint process;. 2) Include as part of the written complaint proces
10.21.17.17.htm 10.21.17.17. 17 Grievances.. If an individual has a grievance regarding the denial of services based on eligibility or medical necessity criteria, the individual may file the grievance according to the procedures outlined in COMAR 10.09.70.08.
10.21.17.9999.htm 10.21.17.9999. Administrative History Effective date: January 2, 1995 (21:26 Md. R. 2187) ―. Chapter revised effective October 5, 1998 (25:20 Md. R. 1530) ―. Regulations .01―14 repealed and new Regulations .01―17 adopted effective January 14, 2008 (35:1 Md. R. 19)Regulation .17 amended effective October 6, 2008 (35:20 Md. R. 1775).
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