Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.59 - Specialty Mental Health Services
Section 10.09.59.01 - Definitions
Universal Citation: MD Code Reg 10.09.59.01
Current through Register Vol. 51, No. 19, September 20, 2024
A. In this chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Administrative services organization
(ASO)" means the contactor procured by the State to provide the Department with
administrative support services to operate the Maryland Public Behavioral
Health System.
(2) "Definitive drug
test" means a drug screening test that includes:
(a) The ability to identify individual drugs
and distinguish between structural isomers, but not necessarily stereoisomers,
using gas chromatography or mass spectrometry and liquid chromatography or mass
spectrometry;
(b) Qualitative or
quantitative results;
(c) All
source types for specimen selection; and
(d) Specimen validity testing, per day, 1-22
or more drug classes including metabolites, if performed.
(3) "Department" means the Department of
Health and Mental Hygiene, as defined in COMAR
10.09.36.01, or its authorized
agents acting on behalf of the Department.
(4) "Hospital" means an institution which:
(a) Falls within the jurisdiction of
Health-General Article, Title 19, Subtitle 3, Annotated Code of Maryland; and
(b) Is licensed under COMAR
10.07.01 or is licensed by the state in which the service is
provided.
(5) "Medicaid
Emergency Psychiatric Demonstration" means the federal demonstration program
established under Section 2707o f the Patient Protection and Affordable Care
Act.
(6) "Medical Assistance" has
the meaning stated in COMAR 10.09.24.02.
(7) "Medically necessary" has the meaning
stated in COMAR 10.09.36.01.
(8)
"Medicare" means the insurance program administered by the federal government
under Title XVIII of the Social Security Act,
42 U.S.C. § 1395 et seq.
(9) "Office of Health
Care Quality" means the office within the Department responsible for the
certification and inspection of programs.
(10) "Participant" means an individual who is
certified as eligible for, and is receiving, medical assistance benefits.
(11) "Presumptive drug test" means
a drug screening test that includes:
(a) Any
number of drug classes;
(b) Any
number of devices;
(c) The use of
direct optical observation, instrument assisted direct optical observation or
instrumented chemistry analyzers; and
(d) Sample validation.
(12)
"Program" has the meaning stated in COMAR 10.09.36.01.
(13) "Provider" means an organization or an
individual practitioner furnishing the services covered under this chapter
which, through appropriate agreement with the Department, has been identified
as a Program provider by the issuance of a provider account number.
(14)
"Public Behavioral Health System" means the system that provides medically
necessary behavioral health services, including mental health and substance use
disorder services, for Medical Assistance participants and certain other
uninsured individuals.
(15) "Specialty
mental health services" means services for which a participant's diagnosis and
treatment provider meet the criteria specified in COMAR 10.09.70 and this
chapter.
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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