Current through Register Vol. 51, No. 19, September 20, 2024
A. Individual Practitioner Providers. To
participate in the Program as an individual practitioner of specialty mental
health services, the provider shall:
(1) Be
licensed and legally authorized to practice independently by the appropriate
Board to practice in the state in which the service is rendered; and
(2) Demonstrate, by training and experience,
the competency to provide mental health services as one of the following:
(a) A licensed certified social
worker-clinical;
(b) A nurse
psychotherapist (APRN-PHM);
(c) A
pediatric nurse practitioner with a PMHS;
(d) A nurse practitioner-psychiatric
(CRNP-PMH);
(e) A physician who
demonstrates the competency to provide specialty mental health services;
(f) A licensed certified counselor
which includes:
(i) A licensed professional
counselor;
(ii) A licensed marriage
and family therapist;
(iii) A
licensed counselor-alcohol and drug; or
(iv) A licensed clinical professional art
therapist;
(g) A
psychiatrist certified by the American Board of Psychiatry and Neurology or
possessing the minimum educational and training requirements to take the Board
of Psychiatry and Neurology examination for certification in psychiatry;
or
B. Community Mental Health Program Providers.
To participate in the Program as a community-based mental health program
provider, the provider shall be approved under COMAR 10.63.01, 10.63.02, and
10.63.06 and possess licensure by the Behavioral Health Administration as:
(1) A psychiatric rehabilitation program
serving adults in compliance with COMAR
10.63.03.09;
(2) A psychiatric rehabilitation program
serving minors in compliance with COMAR
10.63.03.10;
(3) A mobile treatment program, which shall:
(a) Comply with COMAR
10.63.03.04;
(b) Consist of a multidisciplinary team
including, at a minimum:
(i) A program
director that is a mental health professional;
(iii) A licensed registered nurse;
(iv) At least one licensed social worker or
licensed graduate social worker;
(v) At least one mental health professional
who may include the staff identified in §B(3)(b)(iii) and (iv) of this
regulation; and
(c)
Maintain sufficient staffing to fulfill the following service requirements
including:
(i) Initial and continuing
psychiatric evaluation, diagnosis, and individual treatment planning;
(ii) Medication
services;
(iii) Independent living
skills assessment and training;
(iv) Health promotion and training;
(v) Interactive therapies;
(vi) Crisis intervention services;
and
(vii) Support, linkage, and
advocacy; or
(4) For dates of service between October 1,
2018 and September 30, 2021, a health care service provided through telehealth
is equivalent to the same health care service provided through an in-person
visit if the service provided through telemedicine is provided by a fully
integrated psychiatrist or psychiatric nurse practitioner (CRNP-PMH) attached
to an ACT or mobile treatment program.
(5) An outpatient mental health clinic in
compliance with:
(a) COMAR
10.63.03.05; and
(b) Staffing requirements as described in
COMAR 10.63.03.05 and including:
(i) A program director who is a licensed
mental health professional or has a master's degree in a related field and is
employed by the OMHC and is on-site at the organization for at least 20 hours
per week;
(ii) A medical director
as described in COMAR
10.63.03.05 and is serving the
organization for at least 20 hours per week;
(iii) A multidisciplinary licensed mental
health professional staff as described in COMAR
10.63.03.05, including
representatives of two different mental health professions, each of whom shall
be on-site 50 percent of the OMHC's regularly scheduled hours;
(iv) Graduate level students and interns, who
may deliver services under supervision of a licensed mental health professional
and when a licensed mental health professional co-signs all documentation of
contact with participants.
C. Federally Qualified Health Centers. To
participate in the Program as a Federally Qualified Health Center, the provider
shall be in compliance with COMAR 10.09.08.
D. Other Licensed or Approved Mental Health
Providers. To participate in the Program as a specialty mental health provider
not defined in §§A-C of this regulation, a provider shall be approved
pursuant to COMAR as a:
(1) Targeted case
management provider in compliance with:
(a) If
serving children, COMAR 10.09.90; and
(b) If serving adults, COMAR
10.09.45;
(2) Residential
treatment center in compliance with COMAR 10.07.04 and 10.09.29;
(3) Hospital in compliance with COMAR
10.09.92-10.09.95;
(4)
Non-hospital-based mental health psychiatric day treatment provider in
compliance with:
(b) Staffing requirements described in
10.63.03.08 and including:
(i) A multidisciplinary team employed at
least on a part-time basis; and
(c) Service requirements as described in
10.63.03.08 and including:
(i) An individual treatment plan developed by
the multi-disciplinary team within 4 working days of admission;
(ii) Psychopharmacological treatment;
(iii) Occupational therapy;
(iv) Activity therapy;
and
(v) Other necessary medical,
psychological, and social services; and
(d) COMAR
10.05.01.11 for requirements of
the physical environment;
(5) 1915(i) Intensive Behavioral Health
Services for Children, Youth, and Families Waiver provider in compliance with
10.09.89;
(6) Therapeutic
behavioral service provider in compliance with COMAR 10.09.34;
(7) Traumatic brain injury provider in
compliance with COMAR 10.09.46; or
(8) Medical laboratory in compliance with
COMAR 10.09.09.