Current through Register Vol. 51, No. 19, September 20, 2024
A.
Discharge Policy. The program director shall:
(1) Collaborate with the Administration's ASO
to:
(a) Arrange for discharge from the
program when services are no longer authorized by the Administration's ASO,
and
(b) Make recommendations for
referral for alternative services for an individual for whom the program's
services are not appropriate; and
(2) Maintain clearly written policies and
procedures for:
(a) Transition
services,
(b) Collaborative
discharge from the program, and
(c)
Making recommendations for discharge and referral for alternative services for
an individual for whom the program's services are not appropriate.
B. Transition. The
treatment coordinator shall:
(1) Collaborate
with the Administration's ASO to provide interim services and assure
appropriate referrals for authorization for case management and other service
providers before discharge; and
(2)
With proper consent and while the individual is still in the RCS program,
contact the providers who have been authorized to provide the services
designated in the discharge summary.
C. Collaborative Discharge. When the
Administration's ASO, in consultation with the treatment coordinator,
determines that services are no longer medically necessary, the rehabilitation
coordinator shall:
(1) Prepare a discharge
plan based on an assessment of the individual's current service needs and
mutually agreed upon goals, in collaboration with:
(a) The individual, and, for a child, the
primary caretaker; and
(b) With
proper consent:
(i) Family or significant
others designated by the individual, and
(ii) When feasible, other treatment and
service providers;
(2) When needed, make appropriate
recommendations to the Administration's ASO for treatment, rehabilitation, and
community supports; and
(3)
Complete a discharge summary in accordance with COMAR
10.21.17.07D(3).
D. Individual's Discontinuation of
Services. When an individual discontinues services before a planned,
collaborative discharge as described in §C of this regulation, the
treatment coordinator shall:
(1) When
possible, give the individual information about appropriate alternate
services;
(2) If authorized by the
Administration's ASO, provide appropriate outreach to encourage the individual
to access appropriate services;
(3)
With proper consent, provide notice of the discontinuation to:
(a) The emergency contact named by the
individual at the time of admission,
(b) When feasible, other service providers,
including the individual's somatic care provider, when known, and
(c) When needed, the CSA and the
Administration's ASO, for referral for appropriate alternative services;
and
(4) Complete a
discharge summary in accordance with COMAR
10.21.17.07D(3).
E. Program's Recommendation to
Discontinue Services. If, in consultation with the program director, the
treatment coordinator recommends discharging an individual who does not comply
with the program's rules or for whom the program's services are not
appropriate, the program director shall:
(1)
Provide written notice of the intention to discharge from services and
recommend referral for alternative services:
(a) To the individual and, for a child, the
parent or guardian and, if other than the parent or guardian, the primary
caretaker;
(b) With proper consent
to:
(i) The emergency contact named by the
individual at the time of admission,
(ii) When feasible, other service providers,
and
(iii) When needed, the CSA and
the Administration's ASO, for referral for appropriate alternative
services;
(c) That
includes:
(i) The effective date of the
action,
(ii) The reason for the
action, and
(iii) When possible, a
discharge plan; and
(2) Complete a discharge summary in
accordance with COMAR
10.21.17.07D(3).
