Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 21 - MENTAL HYGIENE REGULATIONS
Chapter 10.21.21 - Community Mental Health Programs-Psychiatric Rehabilitation Programs for Adults
Section 10.21.21.05 - Eligibility, Screening, and Initiation of Service
Universal Citation: MD Code Reg 10.21.21.05
Current through Register Vol. 51, No. 19, September 20, 2024
A. Eligibility. An individual is eligible for PRP services if:
(1) The individual is in
need of program services to enable the individual to improve or restore
independent living and social skills necessary to support the individual's:
(a) Recovery;
(b) Ability to make informed decisions and
choices; and
(c) Participation in
community life;
(2) The
individual meets medical necessity criteria for PRP services;
(3) The individual agrees to apply for
medical assistance, as appropriate; and
(4) The services are preauthorized, as
needed, by the Administration's administrative services organization (ASO),
according to the provisions of COMAR
10.21.17.04A.
B. Screening. Within 10 working days of receipt by the program of a complete referral for PRP services:
(1) Staff assigned by the program director
shall conduct a screening assessment to determine whether rehabilitation
services are medically needed by the individual;
(2) If, following the screening assessment
under §B(1) of this regulation, the program director determines that the
program's services are not appropriate for an individual who has been referred,
the program director shall, in writing:
(a)
Inform the individual of the determination and the reason;
(b) Provide the individual with
recommendations for alternative services, if appropriate; and
(c) With proper consent, notify the referral
source, the family, or others designated by the individual of the determination
and of any recommendations for other services;
(3) Unless the program director has notified
the individual of the determination under §B(2) of this regulation, the
program director shall notify the individual whether the program:
(a) Accepts the individual, in which case,
the program director shall identify a date that the program can initiate
services to the individual;
(b)
Will accept the individual, following an updated review of the individual's
eligibility status, when program capacity permits, in which case the program
director shall inform the individual of the:
(i) Individual's placement on a waiting list,
if any; and
(ii) Estimated date
services may be initiated; or
(c) Will accept the individual following the
individual's discharge or release from an inpatient facility, RTC, or detention
center;
(4) If the
individual is placed on a waiting list under §B(3)(b) of this regulation,
the program staff shall discuss with the individual:
(a) The option of remaining on the program's
waiting list until the date established under §B(3)(b) of this regulation;
and
(b) Alternative services that
are available.
C. Entitlements and Fees. PRP staff assigned by the program director shall:
(1) Determine
if the individual has, or may be eligible, for federal or State
entitlements;
(2) Assist the
individual, if necessary, to apply for all entitlements for which the
individual may be eligible if the individual does not have
entitlements;
(3) Document in the
individual's medical record:
(a) That the
individual has all entitlements; or
(b) The outcome of the entitlement
application;
(4) Discuss
with the individual the charges for services, and, when applicable, the process
for determining ability to pay; and
(5) Provide written documentation to the
individual regarding the charges for services and the process for determining
ability to pay.
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