Md. Code Regs. 10.09.89.04

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

Section 10.09.89.04 - Termination of Participant Enrollment

A. A participant shall be disenrolled from the 1915(i), as of the date established by the Department, if the participant:

(1) No longer meets all of the criteria for 1915(i) eligibility specified in §§A-H of Regulation .03 of this chapter;

(2) Voluntarily chooses to disenroll from the benefit, if the participant is 18 years old, or the participant's family or medical guardian chooses to do so on behalf of a participant who is younger than 18 years old or in the custody of the State, or both;

(3) Is hospitalized for longer than 30 days;

(4) Moves out of the service area and cannot reasonably access services and supports;

(5) Is admitted to and placed in an RTC for longer than 60 days;

(6) Is admitted to and placed in a Therapeutic Group Home (TGH) licensed by BHA under COMAR 10.21.07 or an adult residential program approved under COMAR 10.21.22;

(7) Is placed in a Psychiatric Respite Care program, a non-medical group residential facility located on the grounds of an IMD primarily for the purpose of placement;

(8) Loses eligibility for Maryland Medical Assistance for more than 30 days;

(9) Turns 22 years old;

(10) Is detained, committed to a juvenile justice or correctional facility, or incarcerated for longer than 60 days;

(11) Does not meet medical re-certification criteria;

(12) Does not participate in a Child and Family Team (CFT) meeting within 90 days;

(13) Is no longer actively engaged in ongoing behavioral health treatment with a licensed mental health professional; or

(14) Is placed in a group residential facility licensed under COMAR 14.31.05-.07.

B. A participant who is not receiving 1915(i) services continuously after reaching age 18 is ineligible to enroll in the program at a later date.

Md. Code Regs. 10.09.89.04

Regulations .04 adopted effective 41:19 Md. R. 1077, eff.10/1/2014 ; amended effective 48:12 Md. R. 473, eff. 6/14/2021