Md. Code Regs. 10.09.33.03

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

Section 10.09.33.03 - Participant Eligibility

A. An individual is eligible for health home services if the individual:

(1) Is a recipient of Maryland Medical Assistance; and

(2) Meets the following criteria:

(a) Receives outpatient mental health rehabilitation or treatment services with a PRP or MTS program for a serious and persistent mental illness or serious emotional disturbance, and is not currently receiving:

(i) 1915(i) waiver services; or

(ii) Mental health case management; or

(b) Receives treatment with an OTP for an opioid substance use disorder and is at risk for additional chronic conditions based on:

(i) Current alcohol use, tobacco use, or other non-opioid use; or

(ii) A history of alcohol, tobacco, or other non-opioid substance dependence.

B. A health home participant that is no longer receiving services from their PRP, MTS program, or OTP provider may continue to receive health home services for up to 6 months for the purposes of reengagement or transition to another level of care.

Md. Code Regs. 10.09.33.03

Effective date: 40:19 Md. R. 1544, eff.9/30/2013