Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.90 - Mental Health Case Management: Care Coordination for Children and Youth
Section 10.09.90.06 - Participant Eligibility - Level II-Moderate Care Coordination

Universal Citation: MD Code Reg 10.09.90.06

Current through Register Vol. 51, No. 19, September 20, 2024

The participant as described in Regulation .03A of this chapter shall meet three or more of the following conditions:

A. The participant is not linked to behavioral health services, health insurance, or medical services;

B. The participant lacks basic supports for education, income, food, or transportation;

C. The participant is homeless or at-risk for homelessness;

D. The participant is transitioning from one level of intensity to another level of intensity including transitions out of the following levels of service:

(1) Inpatient psychiatric or substance use services;

(2) RTC; or

(3) 1915(i) services under COMAR 10.09.89;

E. Due to multiple behavioral health stressors within the past 12 months, the participant has a history of:

(1) Psychiatric hospitalizations; or

(2) Repeated visits or admissions to:
(a) Emergency room psychiatric units;

(b) Crisis beds; or

(c) Inpatient psychiatric units;

F. The participant needs care coordination services to obtain and maintain community-based treatment and services;

G. The participant:

(1) Is currently enrolled in Level III Care Coordination services under this chapter; and

(2) Has stabilized to the point that Level II is most appropriate;

H. The participant:

(1) Is currently enrolled in Level I Care Coordination services under this chapter; and

(2) Has experienced one of the following adverse childhood experiences during the preceding 6 months:
(a) Emotional, physical, or sexual abuse;

(b) Emotional or physical neglect; or

(c) Significant family disruption or stressors.

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