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 10.09.90.12 - Covered Services - Plan of Care
Universal Citation: MD Code Reg 10.09.90.12
Current through Register Vol. 51, No. 19, September 20, 2024
A. The POC shall contain, at minimum:
(1) A description of the participant's
strengths and needs;
(2) The
diagnosis or diagnoses established as evidence of the participant's eligibility
for services under this chapter;
(3) The goals of care coordination services
to address the behavioral health, medical, social, educational, and other
services needed by the participant, with expected target completion
dates;
(4) A crisis plan including
the proposed strategies and interventions for preventing and responding to
crises and the youth and family's definitions of what constitutes a
crisis;
(5) Designation of the care
coordinator with primary responsibility for implementation of the
POC;
(6) Signatures of the care
coordinator and other CFT members, if appropriate;
(7) Signatures of the participant and family
indicating that the participant and family have:
(a) Participated in the development of the
POC; and
(b) Had choice in the
selection of services, providers, and interventions when possible, in the care
coordination process of building the POC; and
(8) For 1915(i) participants, specified for
each recommended service, the following information as appropriate or as
required by the Department:
(a) Description of
the service;
(b) Service start
date;
(c) Estimated
duration;
(d) Frequency and units
of service as measured in 15 minute increments to be delivered;
(e) The specific need or goal that the
service is related to; and
(f) The
provider name and contact information.
B. If not included in the POC, an ongoing record of contacts made on the participant's behalf, which includes all of the following, shall be included in the participant's chart:
(1) Date, start and end time, and subject of
contact;
(2) Individual
contacted;
(3) Electronic or
scanned signature of care coordinator making the contact;
(4) Nature, content, and unit or units of service
provided;
(5) Place of
service;
(6) Whether strategies and
tasks specified in the POC have been achieved;
(7) The timeline for obtaining needed
services;
(8) The timeline for
reevaluation of the plan;
(9) The
need for and occurrences of coordination with child- and family-serving
agencies and providers;
(10) The
names and contact information for the participant's primary care provider,
dentist, and other health care providers;
(11) The medications that the participant is
currently taking and the dosage and frequency of the medications; and
(12) Monthly summary notes, which reflect
progress made towards the identified needs and outcome measures.
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