Md. Code Regs. 10.09.33.01

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

Section 10.09.33.01 - Definitions

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

B. Terms Defined.

(1) "Administrative service organization (ASO)" means the entity with which the Mental Hygiene Administration may contract to provide the services described in COMAR 10.09.70 for the public mental health system.

(2) "Care management tool" means a system that helps accomplish administrative tasks of the health home, including maintaining a list of health home participants and scheduling and tracking participants' clinical appointments.

(3) "Care plan" means a written plan of action that is developed and modified to address a patient's specific behavioral, somatic, and social service needs, which is maintained in the individual's medical record and satisfies the following conditions:

(a) Meets the requirements of COMAR 10.47.01.04C; or

(b) Meets the requirements of COMAR 10.21.21.06C.

(4) "Caregiver" means a family member, guardian, or other individual who is not paid to provide care to the participant and who helps the participant achieve and maintain wellness.

(5) "Chesapeake Regional Information System for Our Patients (CRISP)" means the electronic notification system health home providers are required to use in order to access participant hospital encounter data.

(6) "Department" means the Department of Health and Mental Hygiene, the State agency designated to administer the Maryland Medical Assistance Program under Title XIX of the Social Security Act, 42 U.S.C § 1396 et seq.

(7) "eMedicaid" means the health information system in which a health home provider will input information regarding participants' services and health and social outcomes.

(8) "Full-time equivalent (FTE)" means an employee who works 40 hours per week.

(9) "Health home" means a provider designated to offer enhanced care coordination and management services to individuals affected by, or at risk for, chronic conditions, operating under the conditions of this chapter.

(10) "HIT" means health information technology.

(11) "Managed care organization (MCO)" has the meaning stated in Health-General Article, §15-101, Annotated Code of Maryland.

(12) "Medical Assistance Program" has the meaning stated in COMAR 10.09.36.01.

(13) "Mental health case management" means services covered under COMAR 10.09.45 which assist participants in gaining access to the full range of mental health services, and necessary medical, social, financial assistance, counseling, educational, housing, and other support services.

(14) "Minor" means an individual who is younger than 18 years old.

(15) "Mobile treatment services (MTS) program" means a program approved under COMAR 10.63.03.04.

(16) "Opioid treatment program (OTP)", formerly referred to as opioid maintenance therapy (OMT) programs, means a program approved to provide opioid maintenance therapy under COMAR 10.63.03.19.

(17) "Participant" means an individual enrolled in a health home funded by the Medical Assistance Program.

(18) "Provider" means an individual, association, partnership, corporation, unincorporated group, or any other person authorized, licensed, or certified to provide health services.

(19) "Psychiatric rehabilitation program (PRP)" means a program approved under COMAR 10.63.03.09 for adults, COMAR 10.63.03.10 for minors, or both.

Md. Code Regs. 10.09.33.01

Regulation .01B amended effective 41:13 Md. R. 752, eff.7/7/2014 ; amended effective 50:22 Md. R. 973, eff. 11/13/2023