Md. Code Regs. 10.09.06.02

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

Section 10.09.06.02 - Definitions

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

B. Terms Defined.

(1) "Accrediting body" means an entity approved by the Secretary or the Secretary's designee, under Health-General Article, §19-2302, Annotated Code of Maryland.

(2) "Administrative day" means a day of services rendered to a participant who no longer requires the level of care the provider is licensed to deliver, but still requires the level of care in an ASAM Level 3.3, 3.5, or 3.7 setting.

(3) "Administrative service organization (ASO)" means the entity under contract with the Department to provide administrative services to operate the Maryland Public Behavioral Health System.

(4) "American Society of Addiction Medicine (ASAM) criteria" means an instrument designed to indicate placement guidelines for admission, continued stay, and discharge of individuals with a substance use disorder.

(5) "Assessment" means the process of ascertaining the treatment needs of an individual seeking behavioral health services.

(6) "Available" means a staff member is on-site, available by phone, or on call.

(7) "Behavioral Health Administration" means the administration within the Department that establishes regulatory requirements that behavioral health providers are to maintain in order to become certified or licensed by the Department.

(8) "Certified counselor" means a provider approved by the Board of Professional Counselors and Therapists under COMAR 10.58.

(9) "Coordinating aftercare services" means being responsible for assisting participants with resources, appointments, and discharge plans.

(10) "Crisis intervention" means the methods used to offer short term immediate help to individuals who have experienced an event that produces mental, physical, emotional, and behavioral distress.

(11) "Department" means the Maryland Department of Health, which is the single State agency designated to administer the Maryland Medical Assistance Program under Title XLX of the Social Security Act, 42 U.S.C. § 1396 et seq.

(12) "Discharge plan" means a written description of specific goals and objectives to assist the participant upon leaving treatment.

(13) "Documentation" means the written medical record.

(14) "Evidence-based practice" means a practice approved by the Behavioral Health Administration that applies to certain clinical or rehabilitative interventions provided by public mental health service providers.

(15) "Facility director" means an individual on staff who is responsible for overseeing the daily operation of the residential treatment facility.

(16) "Individualized treatment plan" means a written plan that:

(a) Addresses the individual's biopsychosocial needs through goals and objectives; and

(b) Is updated as needed according to the treatment modality.

(17) "License" means the approval issued by the Secretary or designee that permits a behavioral health provider to operate in Maryland.

(18) "Licensed mental health clinician" means a staff member who is eligible to provide mental health services as outlined in COMAR 10.09.59.04A.

(19) "Maryland Medical Assistance Program" means the program of comprehensive medical and other health-related care for indigent and medically indigent individuals.

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

(21) "Participant" means an individual who is certified as eligible for, and is receiving, Medical Assistance benefits.

(22) "Participant census" means a record of participants actively in the care of the provider.

(23) "Program" means the Maryland Medical Assistance Program.

(24) "Progress note" means an objective documentation of the participant's progress in relation to specific treatment goals and objectives.

(25) "Provider" means a residential treatment facility that provides professionally directed evaluation, observation, medical monitoring, and addiction treatment in an inpatient setting.

(26) "Substance use disorder" means a maladaptive pattern of substance use leading to clinically significant impairment or distress and manifested by recurrent and significant adverse consequences related to the repeated use of substances.

(27) "Substance use disorder services" means the services for which a participant's diagnosis and treatment provider meet the criteria specified in COMAR 10.67.08 and this chapter.

Md. Code Regs. 10.09.06.02

Regulations .02 amended as an emergency provision effective September 16, 1992 (19:20 Md. R. 1812); amended permanently effective January 1, 1993 (19:25 Md. R. 2205); repealed effective 44:7 Md. R. 354, eff. 4/10/2017; adopted effective 44:18 Md. R. 865, eff. 9/11/2017; amended effective 49:7 Md. R. 465, eff. 4/4/2022; amended effective 50:20 Md. R. 886, eff. 10/16/2023