# COMAR 10.09.33.04: COMAR 10.09.33.04. Conditions for Health Home Provider Participation > Maryland · Regulations · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_33_04 ## Section - **Citation:** COMAR 10.09.33.04 - **Heading:** COMAR 10.09.33.04. Conditions for Health Home Provider Participation - **Jurisdiction:** Maryland - **Kind:** Regulations - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** Code of Maryland Regulations / Title 10 MARYLAND DEPARTMENT OF HEALTH / Subtitle 09 MEDICAL CARE PROGRAMS / Chapter 33 Health Homes / COMAR 10.09.33.04 ## Text To be eligible as a health home, a provider shall: A. Meet the conditions for provider participation in the Medical Assistance Program, as set forth in COMAR 10.09.36.03 ; B. Meet the approval requirements set forth in Regulation .02 of this chapter ; C. Be accredited by, or demonstrate evidence of having started the accreditation process from, an approved accrediting body as a health home; D. For PRP and MTS health homes serving minors, demonstrate a minimum of 3 years of experience serving minors, which may be achieved as an independent practice or as a member of a broader agency, with exceptions designated by the Department; E. At the time of enrollment as a health home, be registered or be able to provide documentation of starting the process of registration with CRISP in order to receive hospital encounter alerts; F. At the time of enrollment as a health home, be registered or be able to provide documentation of starting the process of registration with one of the following organizations in order to receive access to real-time pharmacy data for participants: (1) CRISP; or (2) The State’s ASO; G. At the time of enrollment as a health home, have an internal protocol for reviewing and responding to hospital encounter alerts and pharmacy use data; H. Directly provide, or subcontract for the provision of, health home services to all participants; I. Maintain an electronic database with the ability to, at minimum: (1) Maintain an up-to-date list of all health home participants and their contact information; and (2) Record and review clinical appointments; J. Maintain a file for each participant that includes: (1) A form signed by the participant consenting to participate in the health home, including the program’s data-sharing elements; (2) An initial assessment of the participant’s health and social services needs, as described in Regulation .06B(1)(a) of this chapter ; and (3) A care plan, updated every 6 months, which may be combined with the existing MTS, PRP, or OTP care plan, and includes, at a minimum: orm signed by the participant consenting to participate in the health home, including the program’s data-sharing elements; (2) An initial assessment of the participant’s health and social services needs, as described in Regulation .06B(1)(a) of this chapter ; and (3) A care plan, updated every 6 months, which may be combined with the existing MTS, PRP, or OTP care plan, and includes, at a minimum: (a) The participant’s health home goals; (b) Time frames for meeting the health home goals; (c) Proposed interventions for meeting the health home goals; (d) Relevant community networks and supports; (e) Optimal clinical outcomes for the participant; and (f) Signatures of: (i) The participant or the participant’s parent or guardian; and (ii) The nurse care manager to whom the participant has been assigned in the health home; K. Safeguard the confidentiality of the participants’ records in accordance with State and federal laws and regulations; L. Provide on-call and crisis intervention services by telephone 24 hours a day, 7 days a week to participants and, as appropriate, their caregivers, or if the participant is a minor, the minor’s parent or guardian; M. Be responsible for meeting all health home service requirements, including services performed by a business or individual subcontracted to provide such services; N. Convene health home staff meetings every 6 months, at minimum, to plan and implement goals and objectives of functioning as a health home; O. Collaborate with MCOs and the ASO to improve participant outcomes; and P. Agree to participate in federal and State-required evaluation activities, including: (1) Using the ASO system to: (a) Submit encounters documenting participants’ services at least monthly; (b) Generate monthly reports documenting: (i) Health home service delivery; and (ii) Participants’ health and social outcomes; and (c) Update participant diagnoses and outcomes every 6 months; and (2) Completing and submitting to the Department a program assessment every 6 months to demonstrate that: sing the ASO system to: (a) Submit encounters documenting participants’ services at least monthly; (b) Generate monthly reports documenting: (i) Health home service delivery; and (ii) Participants’ health and social outcomes; and (c) Update participant diagnoses and outcomes every 6 months; and (2) Completing and submitting to the Department a program assessment every 6 months to demonstrate that: (a) All staffing and other regulatory requirements are being met; and (b) A quality improvement plan is being implemented. Cross References 10.09.33.06B(2) ## Nearby sections - [COMAR 10.09.33.01 COMAR 10.09.33.01. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_33_01.md) - [COMAR 10.09.33.02 COMAR 10.09.33.02. Licensing Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_33_02.md) - [COMAR 10.09.33.03 COMAR 10.09.33.03. Participant Eligibility](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_33_03.md) - [COMAR 10.09.33.04 COMAR 10.09.33.04. Conditions for Health Home Provider Participation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_33_04.md) - [COMAR 10.09.33.05 COMAR 10.09.33.05. Health Home Provider Staff](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_33_05.md) - [COMAR 10.09.33.06 COMAR 10.09.33.06. Covered Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_33_06.md) - [COMAR 10.09.33.07 COMAR 10.09.33.07. Health Home Participant Flow](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_33_07.md) - [COMAR 10.09.33.08 COMAR 10.09.33.08. Limitations](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_33_08.md) - [COMAR 10.09.33.09 COMAR 10.09.33.09. Payment Procedures](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_33_09.md) - [COMAR 10.09.33.10 COMAR 10.09.33.10. Recovery and Reimbursement](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_33_10.md) - [COMAR 10.09.33.11 COMAR 10.09.33.11. Cause for Suspension or Removal and Imposition of Sanctions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_33_11.md) - [COMAR 10.09.33.12 COMAR 10.09.33.12. Appeal Procedures](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_33_12.md) - [COMAR 10.09.33.13 COMAR 10.09.33.13. Interpretive Regulation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_33_13.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_33_04. Check the current official text before relying on it. Not legal advice.