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

2. B. Terms Defined.

   1. (1) “Administrative services organization (ASO)” means the contractor procured by the State to provide the Department with administrative support services to operate the Maryland Public Behavioral Health System.
   2. (2) “Behavioral Health Administration (BHA)” means the administration within the Department that establishes regulatory requirements that behavioral health programs are to maintain in order to become licensed by the Department.

   3. (3) “Definitive drug test” means a drug screening test that includes:

      1. (a) The ability to identify individual drugs and distinguish between structural isomers, but not necessarily stereoisomers, using gas chromatography or mass spectrometry and liquid chromatography or mass spectrometry;
      2. (b) Qualitative or quantitative results;
      3. (c) All source types for specimen selection; and
      4. (d) Specimen validity testing, per day, 1—22 or more drug classes including metabolites, if performed.
   4. (4) “Department” means the Maryland Department of Health, as defined in COMAR 10.09.36.01, or its authorized agents acting on behalf of the Department.

   5. (5) “Hospital” means an institution which:

      1. (a) Falls within the jurisdiction of Health-General Article, Title 19, Subtitle 3, Annotated Code of Maryland; and
      2. (b) Is licensed under COMAR 10.07.01 or is licensed by the state in which the service is provided.
   6. (6) “Individualized education program (IEP)” has the meaning stated in COMAR 10.09.50.01.
   7. (7) “Individualized Family Service Plan (IFSP)” has the meaning stated in COMAR 10.09.50.01.
   8. (8) “Local school system (LSS)” means a local public school district.
   9. (9) “Medical Assistance” has the meaning stated in COMAR 10.09.24.02.
   10. (10) “Medically necessary” has the meaning stated in COMAR 10.09.36.01.
   11. (11) “Medicare” means the insurance program administered by the federal government under Title XVIII of the Social Security Act, 42 U.S.C. §1395 et seq.
   12. (12) “Participant” means an individual who is certified as eligible for, and is receiving, medical assistance benefits.

   13. (13) “Presumptive drug test” means a drug screening test that includes:

       1. (a) Any number of drug classes;
       2. (b) Any number of devices;
       3. (c) The use of direct optical observation, instrument assisted direct optical observation or instrumented chemistry analyzers; and
       4. (d) Sample validation.
   14. (14) “Program” has the meaning stated in COMAR 10.09.36.01.
   15. (15) “Provider” means an organization or an individual practitioner furnishing the services covered under this chapter which, through appropriate agreement with the Department, has been identified as a Program provider by the issuance of a provider account number.
   16. (16) “Public Behavioral Health System” means the system that provides medically necessary behavioral health services, including mental health and substance use disorder services, for Medical Assistance participants and certain other uninsured individuals.
   17. (17) “Specialty mental health services” means services for which a participant’s diagnosis and treatment provider meet the criteria specified in COMAR 10.67.08 and this chapter.

Authority: Health-General Article, §§2-104(b), 2-105(b), 15-102.8, 15-103, 15-105, and 15-105.2, Annotated Code of Maryland

Effective date:

Regulations .01—.11 adopted as an emergency provision effective February 3, 1995 (22:4 Md. R. 232); adopted permanently effective June 5, 1995 (22:11 Md. R. 821)

Regulations .01 and .03—.07 amended as an emergency provision effective July 1, 1997 (24:18 Md. R. 1291); emergency status expired December 31, 1997; amended permanently effective February 9, 1998 (25:3 Md. R. 144)

Regulation .04 amended effective February 12, 1996 (23:3 Md. R. 168)

Regulation .05 amended effective February 12, 1996 (23:3 Md. R. 168); August 10, 1998 (25:16 Md. R. 1274)

Regulation .07K—M amended effective August 10, 1998 (25:16 Md. R. 1274)

Regulations .01—.11 under, Rehabilitation and Other Mental Health Services, repealed and new Regulations .01—.14 under, Specialty Mental Health Services, adopted effective December 22, 2014 (41:25 Md. R. 1479)

Regulation .01B amended effective October 26, 2015 (42:21 Md. R. 1300); October 10, 2016 (43:20 Md. R. 1110); May 12, 2025 (52:9 Md. R. 405)

Regulation .02 amended effective October 26, 2015 (42:21 Md. R. 1300)

Regulation .03 amended effective October 26, 2015 (42:21 Md. R. 1300); April 23, 2018 (45:8 Md. R. 420)

Regulation .04 amended effective October 26, 2015 (42:21 Md. R. 1300); April 23, 2018 (45:8 Md. R. 420); December 31, 2018 (45:26 Md. R. 1243); May 12, 2025 (52:9 Md. R. 405)

Regulation .04B amended effective May 18, 2020 (47:10 Md. R. 517)

Regulation .04B, D amended effective October 10, 2016 (43:20 Md. R. 1110)

Regulation .05 repealed and new Regulation .05 adopted effective October 26, 2015 (42:21 Md. R. 1300)

Regulation .05 amended effective April 23, 2018 (45:8 Md. R. 420)

Regulation .05B, C amended effective May 12, 2025 (52:9 Md. R. 405)

Regulation .06 amended effective October 26, 2015 (42:21 Md. R. 1300); May 12, 2025 (52:9 Md. R. 405)

Regulation .06C amended effective October 10, 2016 (43:20 Md. R. 1110)

Regulation .07 amended effective October 26, 2015 (42:21 Md. R. 1300); April 23, 2018 (45:8 Md. R. 420)

Regulation .07D, K, N amended effective May 12, 2025 (52:9 Md. R. 405)

Regulation .07V amended effective December 31, 2018 (45:26 Md. R. 1243)

Regulation .08 amended effective October 26, 2015 (42:21 Md. R. 1300)

Regulation .09 amended effective October 26, 2015 (42:21 Md. R. 1300)

Regulation .09F amended effective May 12, 2025 (52:9 Md. R. 405)

Regulation .09I adopted effective April 23, 2018 (45:8 Md. R. 420)

Regulation .12 amended effective October 26, 2015 (42:21 Md. R. 1300)

Regulation .13 amended effective October 26, 2015 (42:21 Md. R. 1300)