Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.16 - Behavioral Health Crisis Services
Section 10.09.16.05 - Covered Services
Universal Citation: MD Code Reg 10.09.16.05
Current through Register Vol. 51, No. 19, September 20, 2024
A. The Department shall reimburse for the services in §§B-C of this regulation when these services have been documented, pursuant to the requirements in this chapter, as necessary.
B. Mobile crisis team services shall:
(1) Comply with COMAR 10.63.03.20;
(2) Consist of an in-person response by at
minimum a two-person team;
(3)
Include an initial assessment by a licensed mental health professional, which
may be rendered via telehealth only when the licensed mental health
professional functions as a third team member;
(4) Involve the following interventions and
objectives:
(a) Crisis intervention and
stabilization of the individual's behavioral health crisis;
(b) Safety planning; and
(c) Referrals to community supports,
including behavioral health providers, health providers, or social and other
services; and
(5) Include
mobile crisis follow-up outreach by means of telephone, telehealth, or
in-person contact with the individual served, family members, caregivers, or
referred providers.
C. Behavioral health crisis stabilization center services shall:
(1) Comply with COMAR 10.63.03.21;
(2) Consist of an initial nursing assessment
and physical exam by a registered nurse in collaboration with a physician or
psychiatric nurse practitioner;
(3)
Include an initial evaluation by an approved physician or psychiatric nurse
practitioner in accordance with 10.63.03.21F;
(4) Include a crisis assessment completed by
a licensed mental health professional; and
(5) Involve the following interventions and
objectives:
(a) Crisis intervention and
stabilization of the individual's behavioral health crisis;
(b) Safety planning;
(c) Pharmacological interventions, including
the ability to initiate withdrawal management capabilities for all substances,
and initiate medications for medication assisted treatment for opioid use
disorder; and
(d) Referrals to
community-based services or to higher levels of care as clinically
indicated.
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