1. A. In this chapter, the following terms have the meanings indicated.

2. B. Terms Defined.

   1. (1) “Administrative service organization (ASO)” has the meaning stated in COMAR 10.09.59.01.
   2. (2) “ASO system” means the electronic system available to providers which the ASO utilizes to manage Maryland’s Public Behavioral Health System as defined in COMAR 10.09.59.01.
   3. (3) “Care management tool” means a system that helps accomplish administrative tasks of the health home, including maintaining a list of health home participants and scheduling and tracking participants clinical appointments.

   4. (4) “Care plan” means a written plan of action that is developed and modified to address a patient's specific behavioral, somatic, and social service needs, which is maintained in the individual's medical record and satisfies the following conditions:

      1. (a) Meets the requirements of COMAR 10.47.01.04C; or
      2. (b) Meets the requirements of COMAR 10.21.21.06C.
   5. (5) “Caregiver” means a family member, guardian, or other individual who is not paid to provide care to the participant and who helps the participant achieve and maintain wellness.
   6. (6) “Chesapeake Regional Information System for Our Patients (CRISP) means the electronic notification system health home providers are required to use in order to access participant hospital encounter data.
   7. (7) “Department” means the Maryland Department of Health, the State agency designated to administer the Maryland Medical Assistance Program under Title XIX of the Social Security Act, 42 U.S.C §1396 et seq.
   8. (8) “Full-time equivalent (FTE)” means an employee who works 40 hours per week.
   9. (9) “Health home” means a provider designated to offer enhanced care coordination and management services to individuals affected by, or at risk for, chronic conditions, operating under the conditions of this chapter.
   10. (10) “Health Information Technology” means electronic systems equipped for the exchange of health data to link services, facilitate communication between health team members and individuals and family caregivers, and enable quality reporting and the review of health outcomes.
   11. (11) “Managed care organization (MCO)” has the meaning stated in Health-General Article, §15-101, Annotated Code of Maryland.
   12. (12) “Medical Assistance Program” has the meaning stated in COMAR 10.09.36.01.
   13. (13) “Mental health case management” means services covered under COMAR 10.09.45 and COMAR 10.09.90 which assist participants in gaining access to the full range of mental health services, and necessary medical, social, financial assistance, counseling, educational, housing, and other support services.
   14. (14) “Minor” means an individual who is younger than 18 years old.
   15. (15) “Mobile treatment services (MTS) program” means a program approved under COMAR 10.63.03.04.
   16. (16) “Opioid treatment program (OTP)”, formerly referred to as opioid maintenance therapy (OMT) programs, means a program approved to provide opioid maintenance therapy under COMAR 10.63.03.19.
   17. (17) “Participant” means an individual enrolled in a health home funded by the Medical Assistance Program.
   18. (18) “Provider” means an individual, association, partnership, corporation, unincorporated group, or any other person authorized, licensed, or certified to provide health services.
   19. (19) “Psychiatric rehabilitation program (PRP)” means a program approved under COMAR 10.63.03.09 for adults, COMAR 10.63.03.10 for minors, or both.

Authority: Health-General Article, §§2-104(b), 7.5-204, 7.5-205(d), 7.5-402, 8-204(c), 15-103, and 15-105(b), Annotated Code of Maryland

Effective date: September 30, 2013 (40:19 Md. R. 1544)

Regulation .01B amended effective July 7, 2014 (41:13 Md. R. 752); November 13, 2023 (50:22 Md. R. 973); May 11, 2026 (53:9 Md. R. 412)

Regulation .02 amended effective November 13, 2023 (50:22 Md. R. 973)

Regulation .04 amended effective November 24, 2014 (41:23 Md. R. 1372)

Regulation .04P amended effective May 11, 2026 (53:9 Md. R. 412)

Regulation .06B amended effective November 13, 2023 (50:22 Md. R. 973)

Regulation .06C, H amended effective May 11, 2026 (53:9 Md. R. 412)

Regulation .07 amended effective May 11, 2026 (53:9 Md. R. 412)

Regulation .07A amended effective November 13, 2023 (50:22 Md. R. 973)

Regulation .08C amended effective April 4, 2022 (49:7 Md. R. 465), May 11, 2026 (53:9 Md. R. 412)

Regulation .08D amended effective May 11, 2026 (53:9 Md. R. 412)

Regulation .09 amended effective April 4, 2022 (49:7 Md. R. 465)

Regulation .09B amended effective May 11, 2026 (53:9 Md. R. 412)

Regulation .09C amended effective October 24, 2016 (43:21 Md. R. 1166); January 1, 2018 (44:26 Md. R. 1215); December 30, 2019 (46:26 Md. R. 1164); November 13, 2023 (50:22 Md. R. 973); September 16, 2024 (51:18 Md. R. 808); November 10, 2025 (52:22 Md. R. 1095)