COMAR 10.09.89.02. Definitions

A. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

(1) “1915(c)” means a federal waiver that allows states to provide home- and community-based care to individuals who would otherwise be institutionalized.

(2) “1915(i)” means the 1915(i) Intensive Behavioral Health Services for Children, Youth, and Families program described in this chapter.

(3) “Administrative services organization (ASO)” has the meaning stated in COMAR 10.67.01.01 .

(4) “Behavioral Health Administration (BHA)” means the Department’s administration, as described under Health-General Article, Title 7.5, Annotated Code of Maryland.

(5) “Care coordinator” means an individual employed through the care coordination organization that is responsible for providing case management services to 1915(i) participants and families as described in COMAR 10.09.90 .

(6) “Caregiver” means an individual with responsibility for 24-hour care and supervision of a minor.

(7) “Care coordination organization (CCO)” means an entity with a minimum of 3 years of experience providing care coordination services that is approved by the Department to provide case management services to 1915(i) participants and their families, pursuant to COMAR 10.09.90 .

(8) “Child and family team (CFT)” means a team of individuals selected by the participant and family to work with them to design and implement the plan of care.

(9) “Core service agency (CSA)” means the county or multicounty authority, designated under Health-General Article, Title 10, Subtitle 12, Annotated Code of Maryland, to carry out the duties set forth therein.

(10) “Crisis plan” means a document that is developed by a CFT to address actions that need to be taken in the event that an individual is experiencing a behavioral health crisis, which is included as part of the plan of care.

(11) “Department” means the Maryland Department of Health (MDH) or its designee.

itle 10, Subtitle 12, Annotated Code of Maryland, to carry out the duties set forth therein.

(10) “Crisis plan” means a document that is developed by a CFT to address actions that need to be taken in the event that an individual is experiencing a behavioral health crisis, which is included as part of the plan of care.

(11) “Department” means the Maryland Department of Health (MDH) or its designee.

(12) “Department of Human Services (DHS)” has the meaning stated in Human Services Article, Title 2, Annotated Code of Maryland .

(13) “Department of Public Safety and Correctional Services (DPSCS)” has the meaning stated in Correctional Services Article, Title 2, Annotated Code of Maryland .

(14) “Diagnostic Criteria (DC) 0-5” means a system for diagnosing mental health and developmental disorders in infants and toddlers.

(15) “Evidence-based Practice (EBP)" means a set of standardized, replicable interventions for which rigorous scientific research conducted by multiple, independent investigators exists to demonstrate the effectiveness of the interventions, when implemented in accordance with established fidelity standards, in achieving defined, measurable outcomes for the targeted population for which the practice is intended.

(16) “Expressive and experiential behavioral services” means the use of art, dance, music, equine, horticulture, or drama to accomplish individualized goals as part of the plan of care.

(17) “Family” means:

(a) One or more parents and children related by blood, marriage, or adoption, and residing in the same household; or

ble outcomes for the targeted population for which the practice is intended.

(16) “Expressive and experiential behavioral services” means the use of art, dance, music, equine, horticulture, or drama to accomplish individualized goals as part of the plan of care.

(17) “Family” means:

(a) One or more parents and children related by blood, marriage, or adoption, and residing in the same household; or

(b) A parent substitute or substitutes, including informal and formal kinship caregivers as set forth in Health-General Article, §20-105, Annotated Code of Maryland, and Education Article, §7-101, Annotated Code of Maryland , or legal guardians, who have responsibility for the 24 hour care and supervision of a child.

(18) “Family peer support partner” means an individual providing family peer-to-peer support services.

(19) “Family Peer Support Services" means a set of nonclinical activities to support parents and caregivers of youth enrolled in services provided under this chapter in care coordination and the 1915(i) process.

(20) “Family Support Organization (FSO)" means an organization who provides peer support services to parents, caregivers, and youth enrolled in services provided under this chapter.

(21) “Local Behavioral Health Authority (LBHA)” has the meaning stated in Health-General Article, §7.5-101, Annotated Code of Maryland.

(22) “Institution for mental disease (IMD)” has the meaning stated in COMAR 10.67.01.01B .

(23) “Intensive In-Home Services (IIHS)" means a strength-based service intervention provided in the participant's home by a licensed mental health professional and non-licensed in-home stabilizer staff that includes functional assessments, treatment planning, individualized interventions, transition support, and crisis response and intervention.

(24) “Local departments of social services (DSS)” has the meaning stated in Human Services Article, Title 3, Annotated Code of Maryland .

(25) “Maryland Children’s Health Program (MCHP)” has the meaning stated in COMAR 10.09.43 .

in-home stabilizer staff that includes functional assessments, treatment planning, individualized interventions, transition support, and crisis response and intervention.

(24) “Local departments of social services (DSS)” has the meaning stated in Human Services Article, Title 3, Annotated Code of Maryland .

(25) “Maryland Children’s Health Program (MCHP)” has the meaning stated in COMAR 10.09.43 .

(26) “Medical Assistance Program” has the meaning stated in COMAR 10.67.02 .

(27) “Mental health professional” has the meaning stated in COMAR 10.21.17.02 .

(28) “Natural support” means a family member, friend, community member, or organization selected by the participant or family, or both, to participate in the CFT.

(29) “Participant” means an individual who meets the qualifications, as specified in Regulation .03 of this chapter , for benefit eligibility.

(30) “Plan of care (POC)” means a written document that is:

(a) Developed by the CFT that describes the services to be provided to the participant; and

(b) Approved by the Department in accordance with 42 CFR §441.301.

(31) “Program” means the Maryland Medical Assistance Program.

(32) “Provider” means an individual or entity that has enrolled with the Program to provide one or more benefit services covered under this chapter.

(33) “Public Behavioral Health System” has the meaning stated in COMAR 10.09.59.01 .

(34) “Residential treatment center” has the meaning stated in Health-General Article, §19-301, Annotated Code of Maryland.

(35) “Room and board” means rent or mortgage, utilities, maintenance, furnishings, and food provided in or associated with an individual’s place of residence.

(36) “Respite care” has the meaning stated in COMAR 10.21.27 .

(37) “Serious emotional disturbance (SED)” has the meaning stated in COMAR 10.21.17 .

(38) “Service area” means, during the phase-in of the 1915(i), the geographic area in Maryland where the 1915(i) is available.

(39) “State Plan” means the Plan described in §1902(a) of Title XIX of the Social Security Act.

vidual’s place of residence.

(36) “Respite care” has the meaning stated in COMAR 10.21.27 .

(37) “Serious emotional disturbance (SED)” has the meaning stated in COMAR 10.21.17 .

(38) “Service area” means, during the phase-in of the 1915(i), the geographic area in Maryland where the 1915(i) is available.

(39) “State Plan” means the Plan described in §1902(a) of Title XIX of the Social Security Act.

(40) “Supplemental Security Income (SSI)” means a federally administered program providing benefits to needy aged, blind, and disabled individuals under Title XVI of the Social Security Act, 42 U.S.C. §1381 et seq.

(41) “Telehealth” has the meaning stated in COMAR 10.09.49.02 .

(42) “Youth peer support” means a set of nonclinical activities provided by individuals in recovery from behavioral health disorders who use their personal lived experience and training to support youth enrolled in services provided under this chapter .