Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.33 - Health Homes
Section 10.09.33.07 - Health Home Participant Flow
Universal Citation: MD Code Reg 10.09.33.07
Current through Register Vol. 51, No. 19, September 20, 2024
A. Enrollment.
(1) The health home shall enroll an
individual only after the individual has been enrolled in the health home
provider's applicable PRP, MTS, or OTP services.
(2) During enrollment, an OTP established as
a health home shall identify eligible individuals under the OTP's care and
report the diagnoses related to qualifying risk factors set forth in Regulation
.03A(2)(b) of this chapter in eMedicaid.
(3) The health home shall provide the
individual with a brief description of health home services, including:
(a) Explaining the data-sharing elements of
the program; and
(b) Describing how
the individual may opt out if desired.
(4) Following the provision of information in
accordance with §A(3) of this regulation, the health home shall obtain the
individual's consent to participate in the health home.
(5) Following consent to participate in
accordance with §A(4) of this regulation, the health home shall complete
the individual's online eMedicaid intake report thereby enrolling the
individual into the health home.
(6) The health home shall:
(a) Notify a participant's other treatment
providers about health home services; and
(b) Encourage other providers' participation
in care coordination efforts.
B. Participation.
(1) A health home participant shall receive a
minimum of two health home services per month, as defined in eMedicaid and to
be documented in eMedicaid.
(2) An
assigned health home care manager shall monitor the participant's care and
health status and coordinate with other staff to provide appropriate health
home services.
C. Discharge.
(1) In the event of discharge, the
health home shall create a discharge plan that includes referrals to
appropriate services and providers.
(2) The health home shall report all
discharges and completion of discharge plans in eMedicaid.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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