1. A. Purpose and Composition of Standing Multidisciplinary Case Consultation Teams.

   1. (1) A local department shall have at least one standing multidisciplinary case consultation team that meets on a regular basis to make policy recommendations and provide case direction and services for cases including by not limited to:

      1. (a) Complex cases;
      2. (b) Cases with multiple referrals from mandated reporters;
      3. (c) Cases that are likely to result in multiple indicated findings;
      4. (d) Open cases in which there has been a fatality or near fatality; and
      5. (e) Other cases brought to the team by team members.

   2. (2) A local department shall solicit representatives of the following to serve on a standing multidisciplinary case consultation team:

      1. (a) The State's Attorney's office;
      2. (b) Law enforcement;
      3. (c) Medical, including mental health, professions;
      4. (d) Education;
      5. (e) Private social services;
      6. (f) Domestic violence or sexual assault services;
      7. (g) Licensing staff of appropriate agencies;
      8. (h) Parole and probation;
      9. (i) The Department of Juvenile Services;
      10. (j) Substance abuse treatment providers; and
      11. (k) Other agencies deemed appropriate by team members.

2. B. Purpose and Composition of Other Multidisciplinary Case Consultation Teams.

   1. (1) The local department may convene a multidisciplinary case consultation team on an ad hoc basis to assist in a CPS response or provision of services in a particular case with representatives from the appropriate entities specified in §A(2) of this regulation.

   2. (2) Reports Concerning Child Care Centers or Family Day Care Homes.

      1. (a) If a report concerns alleged child abuse or neglect in a child care center or family day care home, the local department shall assist the Office of Child Care's regional manager in convening a multidisciplinary case consultation team to assist the agencies in fulfilling their responsibilities under the written agreement developed pursuant to Regulation .23A of this chapter and Family Law Article, §5-706(f), Annotated Code of Maryland.

      2. (b) The multidisciplinary case consultation team shall be chaired by the Office of Child Care’s regional manager and include representatives from the:

         1. (i) Local department and law enforcement agency investigating the report;
         2. (ii) State's Attorney's office; and
         3. (iii) Appropriate medical, including mental health, professions.

   3. (3) In cases other than those specified in §B(2) of this regulation, involving reports of child abuse and neglect in out-of-home care, the local department shall consider whether to convene a multidisciplinary case consultation team soliciting participation from:

      1. (a) The State's Attorney's office;
      2. (b) The appropriate law enforcement agency; and
      3. (c) The licensing, approving, or administering agency.

Authority: Criminal Law Article, §§3-601, 3-602, and 3-602.1; Family Law Article, Title 5, Subtitle 7; Human Services Article, §§1-202 and 4-207;
Annotated Code of Maryland
Chs. 398 and 399, Acts of 2011 (Agency Note: 42 U.S.C. 5106a(b)(2); 45 CFR §1340.20)

Effective date: February 1, 1973

Regulation .03B amended effective January 5, 1977 (4:1 Md. R. 15)

Chapter revised effective August 17, 1977 (4:17 Md. R. 1293)

Regulations .01 and .05B amended effective November 2, 1979 (6:22 Md. R. 1776)

Regulation .07B adopted effective May 2, 1980 (7:9 Md. R. 843)

Regulation .11 adopted effective November 2, 1979 (6:22 Md. R. 1776)

Chapter revised effective March 6, 1981 (8:5 Md. R. 471)

Regulations .02B and .08 amended effective December 20, 1982 (9:25 Md. R. 2477)

Regulation .02A, C amended effective December 17, 1984 (11:25 Md. R. 2129)

Regulation .02E-1 adopted effective March 11, 1985 (12:5 Md. R. 481)

Regulation .05B amended effective December 17, 1984 (11:25 Md. R. 2129)

Regulation .09I repealed effective December 17, 1984 (11:25 Md. R. 2129)

Regulation .10-1 adopted effective December 17, 1984 (11:25 Md. R. 2129)

Regulation .11 amended effective March 11, 1985 (12:5 Md. R. 481)

Chapter revised effective February 6, 1989 (16:2 Md. R. 157)

Regulations .02, .03, .07, .08, and .14 amended and .07-1 and .19 adopted as an emergency provision effective October 1, 1993 (20:20 Md. R. 1547)

Regulations .01—.18 repealed and new Regulations .01—.24 adopted effective October 1, 1994 (21:19 Md. R. 1630)

Regulation .02B amended effective November 6, 1995 (22:22 Md. R. 1656)

Regulation .05G adopted effective July 1, 1996 (23:13 Md. R. 940)

Regulation .07 amended effective August 14, 1995 (22:16 Md. R. 1219)

Regulation .22 amended effective August 14, 1995 (22:16 Md. R. 1219)

Regulation .23A amended effective November 18, 1996 (23:23 Md. R. 1554)

Chapter, Protective Services for Neglected and Abused Children, repealed and new chapter, Child Protective Services—Investigation of Child Abuse and Neglect, adopted effective March 18, 2002 (29:5 Md. R. 500)

Regulation .02B amended effective November 19, 2007 (34:23 Md. R. 2025); October 5, 2009 (36:20 Md. R. 1527); September 30, 2013 (40:19 Md. R. 1543)

Regulation .03 amended effective October 5, 2009 (36:20 Md. R. 1527)

Regulation .04A, B amended effective February 20, 2012 (39:3 Md. R. 258)

Regulation .05 amended effective April 11, 2005 (32:7 Md. R. 676); November 19, 2007 (34:23 Md. R. 2025)

Regulation .05D amended effective February 20, 2012 (39:3 Md. R. 258)

Regulation .06 amended effective November 19, 2007 (34:23 Md. R. 2025); February 20, 2012 (39:3 Md. R. 258)

Regulation .07A amended effective November 19, 2007 (34:23 Md. R. 2025)

Regulation .07C amended effective February 20, 2012 (39:3 Md. R. 258)

Regulation .09A amended effective February 20, 2012 (39:3 Md. R. 258)

Regulation .12A,C amended effective November 19, 2007 (34:23 Md. R. 2025)

Regulation .14A, B amended effective February 20, 2012 (39:3 Md. R. 258)

Regulation .15B,C amended effective November 19, 2007 (34:23 Md. R. 2025)

Regulation .17 amended effective November 19, 2007 (34:23 Md. R. 2025)

Regulation .18 amended effective November 19, 2007 (34:23 Md. R. 2025)

Regulation .19 amended effective June 19, 2006 (33:12 Md. R. 997); November 19, 2007 (34:23 Md. R. 2025); December 27, 2010 (37:26 Md. R. 1786)

Regulation .19C amended effective September 22, 2008 (35:19 Md. R. 1716); February 20, 2012 (39:3 Md. R. 258)

Regulation .20B amended effective February 20, 2012 (39:3 Md. R. 258)

Regulation .21A amended effective February 20, 2012 (39:3 Md. R. 258)

Regulations .01—.23 repealed and new Regulations .01—.24 adopted effective June 19, 2017 (44:12 Md. R. 586)

Regulation .02B amended effective September 7, 2020 (47:18 Md. R. 824); October 13, 2025 (52:19 Md. 1000)

Regulation .03C amended effective October 13, 2025 (52:19 Md. R. 1000)

Regulation .06H, J amended effective September 7, 2020 (47:18 Md. R. 824)

Regulation .08C amended effective September 7, 2020 (47:18 Md. R. 824)

Regulation .09C amended effective September 7, 2020 (47:18 Md. R. 824)

Regulation .10C, E amended effective September 7, 2020 (47:18 Md. R. 824)

Regulation .11 amended effective September 7, 2020 (47:18 Md. R. 824)

Regulation .11A amended effective October 13, 2025 (52:19 Md. R. 1000)

Regulation .12A amended effective September 7, 2020 (47:18 Md. R. 824)

Regulation .13B amended effective September 7, 2020 (47:18 Md. R. 824)

Regulation .14 amended effective September 7, 2020 (47:18 Md. R. 824)

Regulation .17B amended effective September 7, 2020 (47:18 Md. R. 824)

Regulation .21 amended effective September 7, 2020 (47:18 Md. R. 824)

Regulation .23A, B amended effective September 7, 2020 (47:18 Md. R. 824)