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10.21.30.00.htm 10.21.30.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 21 MENTAL HYGIENE REGULATIONS Chapter 30 Telemental Health Services Authority: Health-General Article, §10-901, Annotated Code of Maryland
10.21.30.01.htm 10.21.30.01. 01 Scope.. A. This chapter applies to public mental health system (PMHS) outpatient mental health centers (OMHC) or individual psychiatrists to provide psychiatric consultation, evaluation, and ongoing treatment, via interactive video telemental health (TMH) technologies to eligible individuals:1) Located in designated rural geographic areas of Maryland; or. 2) For whom personal psychiatric services are not available..
10.21.30.02.htm 10.21.30.02. 02 Definitions.. A. In this chapter, terms have the meanings stated in COMAR 10.21.17 and this regulation.. B. Terms Defined.. 1) "Critical access hospital" means a hospital that is certified to receive cost-based reimbursement from Medicare.2) "Designated rural geographic areas" means the rural geographical areas in Maryland identified by the Department that typically have mental health needs that have limited local mental health resource capacity or specialty psychiatric care.
10.21.30.03.htm 10.21.30.03. 03 Approval.. The Department shall grant approval to a TMH provider to be eligible to receive State or federal funds for providing interactive TMH services if the TMH provider meets the requirements of this chapter and:A. For outpatient mental health centers, COMAR 10.21.20; or. B. If the TMH provider is an individual psychiatrist, COMAR 10.09.36..
10.21.30.04.htm 10.21.30.04. 04 Service Model.. A. TMH provides the opportunity for community-based medical and mental health providers to access general or subspecialty psychiatric care providers from other areas of the State.B. TMH providers may be private practice, part of a hospital, academic, health, or mental health care system.C. PMHS approved community-based providers or individual practitioners may engage in agreements with TMH providers for services.D. Fee-for-service reimbursement shall be at an en
10.21.30.05.htm 10.21.30.05. 05 Eligibility.. A. Individual Eligibility. An individual is eligible to receive TMH services if the individual:. 1) Is Medicaid eligible;. 2) Meets the eligibility and medical necessity criteria for participation in the Public Mental Health System;3) Resides in one of the designated rural geographic areas or whose situation makes person-to-person psychiatric services unavailable; and4) Voluntarily consents to TMH services, which shall be documented in the individual's medical recor
10.21.30.06.htm 10.21.30.06. 06 Technical Requirements.. A provider of TMH health services shall have video technology components as follows:. A. A minimum bandwidth of 384 KBPS (H.263) 256 KBPS (H.264) or technical equivalent;. B. A monitor with a:. 1) Minimum net display of 16" diagonally; and. 2) Non-anamorphic video picture display;. C. A minimum video resolution of 1 Common Intermediate Format (CIF) or 1 Source Input Format (SIF). D. Internet protocol sessions that are encrypted unless they are conducted
10.21.30.07.htm 10.21.30.07. 07 Confidentiality.. All originating and distant TMH sites shall comply with the rules and regulations concerning the privacy and security of protected health information under:A. Health-General Article, Title 4, Subtitle 3, Annotated Code of Maryland; and. B. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) 42 U.S.C. §1320D et seq. as amended, and the implementing regulations at 45 CFR Parts 160 and 164, as amended.
10.21.30.08.htm 10.21.30.08. 08 Medical Records.. A. Originating Site. The originating site shall:. 1) Be responsible for maintaining a complete medical record as if the individual were seen face-to-face at the originating site;2) Meet the facility and community standard for medical record completion and retention, including applicable record reviews; and3) Be responsible for any proper release of information contained in an individual's medical record.. B. Distant Site.. 1) The distant site shall
10.21.30.09.htm 10.21.30.09. 09 Covered Services.. A. TMH services shall be authorized by the Administration's administrative service organization.. B. The Department shall reimburse an approved TMH provider for rendering the following psychiatric services to an eligible child, adolescent, or adult via a telecommunications system:1) Diagnostic interview;. 2) Individual therapy, with or without medication evaluation and management;. 3) Family therapy, with or without the identified patient;.
10.21.30.10.htm 10.21.30.10. 10 Reimbursement.. A. There are three categories of fees that the Department shall reimburse an approved TMH provider, as applicable:1) Originating site fee;. 2) Professional fee; and. 3) Telepresenter fee.. B. Originating Site Fee.. 1) The originating site facility fee is set forth by the Center for Medicare and Medicaid Services, published annually and included in the Medicare Physician Fee Schedule Final Rule, issued by November 1, prior to the start of the calendar year for w
10.21.30.9999.htm 10.21.30.9999. Administrative History Effective date: September 6, 2010 (37:18 Md. R. 1214).
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