Md. Code Regs. 10.09.89.05

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.09.89.05 - 1915(i) Model

A. The 1915(i) shall provide community-based treatment to children with SED or co-occurring diagnosis through the care coordination model.

B. Enrollment in 1915(i) services qualifies and requires the participant to receive case management services through a CCO, pursuant to COMAR 10.09.90.

C. Each participant shall have an individualized POC that is managed by the CCO, pursuant to COMAR 10.09.90:

D. In partnership with the CFT, the CCO shall:

(1) Reevaluate the POC at least every 45 days with re-administration of BHA-approved assessments as appropriate, and more frequently in response to a crisis;

(2) Determine the family vision, which will guide the planning process;

(3) Identify strengths of the entire team;

(4) Determine the needs that the team will work on;

(5) Determine outcome statements for meeting identified needs;

(6) Determine the specific services and supports required in order to achieve the goals identified in the POC;

(7) Create a mission statement that the team generates and commits to following;

(8) Identify the individuals responsible for each of the strategies in the POC;

(9) Review and update the crisis plan; and

(10) Meet at least every 45 days or more frequently as clinically indicated to:

(a) Coordinate the implementation of the POC; and

(b) Re-evaluate and update the POC as necessary.

E. Benefit participants shall have access to specialty behavioral health services through the Department's public behavioral health system. Participants shall also be enrolled in the Medical Assistance Program's managed care program, known as HealthChoice, in accordance with eligibility requirements set forth in COMAR 10.09.63.

Md. Code Regs. 10.09.89.05

Regulations .05 adopted effective 41:19 Md. R. 1077, eff.10/1/2014 ; amended effective 46:17 Md. R. 725, eff. 8/26/2019