COMAR 10.09.33.03. Participant Eligibility

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Code of Maryland Regulations › Title 10 MARYLAND DEPARTMENT OF HEALTH › Subtitle 09 MEDICAL CARE PROGRAMS › Chapter 33 Health Homes › COMAR 10.09.33.03

This text was captured on Aug 14, 2026. It is a snapshot, not a live feed, so check the official code before relying on it.

Text

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.

Cross References 10.09.33.07A(2)

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.