Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 21 - MENTAL HYGIENE REGULATIONS
Chapter 10.21.20 - Community Mental Health Programs-Outpatient Mental Health Centers
Section 10.21.20.05 - Eligibility, Screening, Enrollment, and Orientation
Universal Citation: MD Code Reg 10.21.20.05
Current through Register Vol. 51, No. 19, September 20, 2024
A. Eligibility.
(1) An individual is eligible for services
through the public mental health system (PMHS) if the services are
preauthorized, if required, by the Administration's administrative services
organization (ASO), according to the provisions of COMAR
10.21.17.03A.
(2) In addition to those
individuals described in §A(1) of this regulation, an OMHC may provide
services to other individuals who wish to contract privately for
services.
(3) If an OMHC provides
services to an individual described in §A(2) of this regulation, an OMHC
may not seek reimbursement by the PMHS for providing services to that
individual.
B. Screening Assessment.
(1) An OMHC licensed mental
health professional, in collaboration with the individual referred, shall
conduct a screening assessment to assess the individual's goals for recovery,
strengths, available resources, and treatment needs:
(a) Within 5 working days of receipt of a
referral from an inpatient facility for OMHC services; or
(b) By the date established under §B(2)
of this regulation for all other referrals.
(2) For referrals that are not from an
inpatient facility, the program director shall:
(a) In collaboration with the medical
director, establish a procedure to review clinical acuity as described by the
referral source;
(b) Based on the
review of clinical acuity described in §B(2)(a) of this regulation,
establish the date for a screening assessment; and
(c) Inform the individual of:
(i) The date established for the screening
assessment; or
(ii) If, due to
program capacity, there will be a delay in the screening assessment, a
tentative time frame for services.
(3) If, following the screening assessment
under §B(1) of this regulation, the OMHC program director, or licensed
mental health professional designated by the program director, determines that
the OMHC's services are not appropriate for an individual referred, the OMHC
shall advise the individual and, if appropriate, notify the ASO and
CSA.
C. Enrollment. Unless an individual has been determined to be clinically inappropriate for services under the provisions of §B(3) of this regulation, an OMHC shall:
(1) Initiate evaluation and treatment
services for an individual who has been referred from an inpatient facility,
within 5 working days of the screening assessment conducted under §B(1) of
this regulation; or
(2) For all
other referrals screened under §B(2) of this regulation, the program
director shall:
(a) In collaboration with the
medical director, establish a procedure to review clinical acuity as described
by the referral source;
(b) Assign
priority for OMHC services based on clinical acuity;
(c) Inform the individual of:
(i) The estimated date evaluation and
treatment services may be initiated; and
(ii) If, due to program capacity, there will
be a delay in the initiation of treatment services, alternative services that
are available.
D. Orientation. The program director shall ensure that an individual who has been enrolled in the OMHC, or if the individual is a minor, the minor's parent or guardian, receives an orientation as outlined in COMAR 10.21.17.04B.
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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