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10.63.03.00.htm 10.63.03.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 63 COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAMS AND SERVICES Chapter 03 Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License Authority: Health-General Article, §7.5-204, 8-402, 8-404, and 10-901, Annotated Code of Maryland
10.63.03.01.htm 10.63.03.01. 01 Scope.. This chapter sets forth the descriptions of and the criteria for the community behavioral health programs that are permitted to operate in Maryland, so long as they have valid and current accreditation-based licenses under this subtitle.
10.63.03.02.htm 10.63.03.02. 02 Integrated Behavioral Health Program.. A. To be licensed under this subtitle, an integrated behavioral health program shall:. 1) Meet the requirements for an:. a) Outpatient mental health center, as outlined in Regulation .05 of this chapter; and. b) Outpatient treatment level 1 program, as outlined in Regulation .06 of this chapter; and. 2) Have the capacity to provide, as appropriate:.
10.63.03.03.htm 10.63.03.03. 03 Intensive Outpatient Treatment Level 2.1 Program.. A. To be licensed under this subtitle, an intensive outpatient treatment level 2.1 program shall provide structured outpatient substance-related disorder treatment based on a comprehensive assessment, for:1) Individuals who meet the ASAM Criteria for level 2.1; and. 2) Adults, from 9 to 20 hours weekly, and individuals younger than 18 years old for 6 to 20 hours weekly.B. An intensive outpatient treatment level 2.1 pro
10.63.03.04.htm 10.63.03.04. 04 Mobile Treatment Services Program.. In order to be licensed under this subtitle, a mobile treatment services program shall:. A. Provide intensive, assertive outpatient mental health treatment and support services by a multidisciplinary team to an individual who is homeless or is otherwise unable or unwilling to access traditional outpatient treatment services as follows:1) Flexibly in a community setting considered appropriate to the individual; and.
10.63.03.05.htm 10.63.03.05. 05 Outpatient Mental Health Center.. In order to be licensed under this subtitle, an outpatient mental health center shall:. A. Provide regularly-scheduled outpatient mental health treatment services in a community-based setting;B. Provide, at a minimum, individual, group, and family therapy and medication management;. C. Employ a medical director, who:. 1) Is a psychiatrist;. 2) Has over-all responsibility for clinical services; and. 3) Is on-site at least 20 hours per week; and.
10.63.03.06.htm 10.63.03.06. 06 Outpatient Treatment Level 1 Program.. A. In order to be licensed under this subtitle, an outpatient treatment level 1 program shall provide outpatient substance-related disorder treatment based on a comprehensive assessment:1) For individuals who:. a) Meet the ASAM Criteria for level 1;. b) Have a physical and emotional status that allows the individual to function in the individual’s usual environment; and2) For adults, require services for fewer than 9 h
10.63.03.07.htm 10.63.03.07. 07 Partial Hospitalization Treatment Level 2.5 Program.. A. A partial hospitalization treatment level 2.5 program shall provide structured outpatient substance-related disorder treatment based on a comprehensive assessment for:1) Individuals who meet the ASAM Criteria for level 2.5; and. 2) From 20 to 35 hours weekly.. B. A partial-hospitalization treatment-level 2.5 program may provide the following services if the program’s license specifically authorizes the services:
10.63.03.08.htm 10.63.03.08. 08 Psychiatric Day Treatment Program (PDTP). In order to be licensed under this subtitle, a psychiatric day treatment program (PDTP) shall:. A. Provide short-term, intensive, day or evening mental health treatment and support services for individuals who do not require 24-hour care;B. Focus on the amelioration of an individual’s acute psychiatric symptoms; and. C. Be medically supervised and staffed by a multidisciplinary treatment team that includes, at a minimum:
10.63.03.09.htm 10.63.03.09. 09 Psychiatric Rehabilitation Program for Adults (PRP-A). In order to be licensed under this subtitle, a psychiatric rehabilitation program for adults (PRP-A) shall:A. Provide community-based comprehensive rehabilitation and recovery services and supports, including, but not limited to:1) Community living skills;. 2) Activities of daily living; and. 3) Family and peer support;. B. Promote successful community integration and use of community resources;.
10.63.03.10.htm 10.63.03.10. 10 Psychiatric Rehabilitation Program for Minors (PRP-M). A. In order to be licensed under this subtitle, a psychiatric rehabilitation program for minors (PRP-M) shall provide community-based comprehensive rehabilitation services and supports designed to:1) Promote resiliency; and. 2) Facilitate the development or restoration of appropriate skills in an individual younger than 18 years old including but not limited to:a) Self-care skills;.
10.63.03.11.htm 10.63.03.11. 11 Residential-Low Intensity Level 3.1 Program.. A. In order to be licensed under this subtitle, a residential-low intensity level 3.1 program shall provide clinically-managed, low intensity, substance-related disorder treatment in large and small halfway houses, as defined in Health-General Article, §8-101, Annotated Code of Maryland, to individuals who:1) Meet the ASAM Criteria for level 3.1; and.
10.63.03.12.htm 10.63.03.12. 12 Residential-Medium Intensity Level 3.3 Program.. A. In order to be licensed under this subtitle, a residential-medium intensity level 3.3 program shall provide clinically-managed, medium intensity, substance-related disorder treatment based on a comprehensive assessment:1) In a structured environment in combination with medium-intensity treatment and ancillary services to support and promote recovery;2) From 20 to 35 hours weekly; and. 3) To individuals who:.
10.63.03.13.htm 10.63.03.13. 13 Residential-High Intensity Level 3.5 Program.. A. In order to be licensed under this subtitle, a residential-high intensity level 3.5 program shall provide clinically-managed, high-intensity, substance-related disorder treatment services based on a comprehensive assessment:1) In a highly-structured environment, in combination with moderate- to high-intensity treatment and ancillary services to support and promote recovery;
10.63.03.14.htm 10.63.03.14. 14 Residential-Intensive Level 3.7 Program.. A. In order to be licensed under this subtitle, a residential-intensive level 3.7 program shall provide medically-monitored, intensive substance-related disorder treatment based on a comprehensive assessment:1) To individuals who meet the ASAM Criteria for level 3.7;. 2) For a minimum of 36 hours of therapeutic activities a week;. 3) On a planned regimen of 24-hour evaluation, care, and treatment in a residential setting;.
10.63.03.15.htm 10.63.03.15. 15 Respite Care Services Program (RPCS). In order to be licensed under this subtitle, a respite care services (RPCS) program:. A. Shall provide short-term, in home or overnight temporary services to support an individual to remain in the individual’s home:1) Through enhanced support or a temporary alternate living arrangement; or. 2) By temporarily freeing the caregiver from the responsibility of caring for the individual; and. B. For individuals younger than 21 years old, may
10.63.03.16.htm 10.63.03.16. 16 Supported Employment Program (SEP). In order to be licensed under this subtitle, a supported employment program (SEP) shall:. A. Provide services designed to assist an individual to choose, obtain, and maintain competitive employment; andB. Assist an individual to obtain competitive employment in an integrated work environment that provides:1) Compensation of at least minimum wage;. 2) An individualized approach that establishes an hours-per-week employment
10.63.03.17.htm 10.63.03.17. 17 Substance-Related Disorder Treatment Program in Correctional Facilities.. A substance-related disorder treatment program located in a State or local correctional facility requires a license under this chapter in order to operate.
10.63.03.18.htm 10.63.03.18. 18 Withdrawal Management Service.. A withdrawal management service is one that:. A. May be provided at one or more of the following ASAM levels:. 1) Level 1-WM, ambulatory withdrawal management without extended on-site monitoring;. 2) Level 2-WM, ambulatory withdrawal management with extended on-site monitoring;. 3) Level 3.2-WM, clinically-managed residential withdrawal management; or. 4) Level 3.7-WM, medically-monitored residential withdrawal management;.
10.63.03.19.htm 10.63.03.19. 19 Opioid Treatment Service.. An opioid treatment service is one that:. A. Complies with the requirements of 42 CFR §8;. B. Is under the direction of a medical director who is a physician and:. 1) Has at least 3 years of documented experience providing services to persons with substance-related disorders and opioid use disorders, including at least 1 year of experience in the treatment of opioid use disorder with opioid maintenance therapy and is board-certified in
10.63.03.9999.htm 10.63.03.9999. Administrative History Effective date: July 1, 2016 (43:10 Md. R. 585). Regulation .14 amended effective February 27, 2017 (44:4 Md. R. 255). Regulation .18 amended effective February 27, 2017 (44:4 Md. R. 255). Regulation .19J amended effective February 27, 2017 (44:4 Md. R. 255).
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