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

2. B. Terms Defined.

   1. (1) “1915(c)” means a federal waiver that allows states to provide home- and community-based care to individuals who would otherwise be institutionalized.
   2. (2) “1915(i)” means the 1915(i) Intensive Behavioral Health Services for Children, Youth, and Families program described in this chapter.
   3. (3) “Administrative services organization (ASO)” has the meaning stated in COMAR 10.67.01.01.
   4. (4) “Behavioral Health Administration (BHA)” means the Department’s administration, as defined by Health General Article Title XX, Annotated Code of Maryland, or its designee.
   5. (5) “Care coordinator” means an individual employed through the care coordination organization that is responsible for providing case management services to 1915(i) participants and families as described in COMAR 10.09.90.
   6. (6) “Caregiver” means an individual with responsibility for 24-hour care and supervision of a minor.
   7. (7) “Care coordination organization (CCO)” means an entity with a minimum of 3 years of experience providing care coordination services that is approved by the Department to provide case management services to 1915(i) participants and their families, pursuant to COMAR 10.09.90.
   8. (8) “Child and family team (CFT)” means a team of individuals selected by the participant and family to work with them to design and implement the plan of care.
   9. (9) “Core service agency (CSA)” has the meaning stated in COMAR 10.21.17.
   10. (10) “Crisis plan” means a document that is developed by a CFT to address actions that need to be taken in the event that an individual is experiencing a behavioral health crisis, which is included as part of the plan of care.
   11. (11) “Department” means the Maryland Department of Health (MDH) or its designee.
   12. (12) “Department of Human Services (DHS)” has the meaning stated in Human Services Article, Title 2, Annotated Code of Maryland.
   13. (13) “Department of Public Safety and Correctional Services (DPSCS)” has the meaning stated in Correctional Services Article, Title 2, Annotated Code of Maryland.
   14. (14) “Diagnostic Criteria (DC) 0-5” means a system for diagnosing mental health and developmental disorders in infants and toddlers.
   15. (15) “Expressive and experiential behavioral services” means the use of art, dance, music, equine, horticulture, or drama to accomplish individualized goals as part of the plan of care.

   16. (16) “Family” means:

       1. (a) One or more parents and children related by blood, marriage, or adoption, and residing in the same household; or
       2. (b) A parent substitute or substitutes, including informal and formal kinship caregivers as set forth in Health-General Article, §20-105, Annotated Code of Maryland, and Education Article, §7-101, Annotated Code of Maryland, or legal guardians, who have responsibility for the 24 hour care and supervision of a child.
   17. (17) “Family peer support” means a service as described in Regulation .09 of this chapter.
   18. (18) “Family peer support partner” means an individual providing family peer-to-peer support services.
   19. (19) “Family support organization (FSO)” means an approved entity under Regulation .09D of this chapter.
   20. (20) “Institution for mental disease (IMD)” has the meaning stated in COMAR 10.67.01.01B.
   21. (21) “Local departments of social services (DSS)” has the meaning stated in Human Services Article, Title 3, Annotated Code of Maryland.
   22. (22) “Maryland Children’s Health Program (MCHP)” has the meaning stated in COMAR 10.09.43.
   23. (23) “Medical Assistance Program” has the meaning stated in COMAR 10.67.02.
   24. (24) “Mental health professional” has the meaning stated in COMAR 10.21.17.02.
   25. (25) “Natural support” means a family member, friend, or community member, or organization selected by the participant or family, or both, to participate on the CFT.
   26. (26) “Participant” means an individual who meets the qualifications, as specified in Regulation .03 of this chapter, for benefit eligibility.

   27. (27) “Plan of care (POC)” means a written document that is:

       1. (a) Developed by the CFT that describes the services to be provided to the participant; and
       2. (b) Approved by the Department in accordance with 42 CFR §441.301.
   28. (28) “Program” means the Maryland Medical Assistance Program.
   29. (29) “Provider” means an individual or entity that has enrolled with the Program to provide one or more benefit services covered under this chapter.
   30. (30) “Public mental health system” means the system for the delivery of mental health treatment and supports to eligible individuals as described in COMAR 10.67.08.
   31. (31) “Residential treatment center” has the meaning stated in Health-General Article, §19-301, Annotated Code of Maryland.
   32. (32) “Room and board” means rent or mortgage, utilities, maintenance, furnishings, and food provided in or associated with an individual’s place of residence.
   33. (33) “Respite care” has the meaning stated in COMAR 10.21.27.
   34. (34) “Serious emotional disturbance (SED)” has the meaning stated in COMAR 10.21.17.
   35. (35) “Service area” means, during the phase-in of the 1915(i), the geographic area in Maryland where the 1915(i) is available.
   36. (36) “State Plan” means the Plan described in §1902(a) of Title XIX of the Social Security Act.
   37. (37) “Supplemental Security Income (SSI)” means a federally administered program providing benefits to needy aged, blind, and disabled individuals under Title XVI of the Social Security Act, 42 U.S.C. §1381 et seq.

Authority: Health-General Article, §2-104(b), Annotated Code of Maryland

Effective date: October 1, 2014 (41:19 Md. R. 1077)

Regulation .15B amended effective July 4, 2016 (43:13 Md. R. 712)

Regulation .10F amended October 24, 2016 (43:21 Md. R. 1166); January 15, 2018 (45:1 Md. R. 13)

Regulation .11E amended October 24, 2016 (43:21 Md. R. 1166); January 15, 2018 (45:1 Md. R. 13)

Regulation .12C amended October 24, 2016 (43:21 Md. R. 1166); January 15, 2018 (45:1 Md. R. 13)

Regulation .13D amended October 24, 2016 (43:21 Md. R. 1166); January 15, 2018 (45:1 Md. R. 13)

Regulation .14F amended October 24, 2016 (43:21 Md. R. 1166); January 15, 2018 (45:1 Md. R. 13)

Chapter revised effective August 26, 2019 (46:17 Md. R. 726)

Regulation .02B amended effective June 14, 2021 (48:12 Md. R. 473)

Regulation .03C, E, H amended effective June 14, 2021 (48:12 Md. R. 473)

Regulation .04A amended effective June 14, 2021 (48:12 Md. R. 473)

Regulation .09D, E amended effective November 13, 2023 (50:22 Md. R. 974)

Regulation .09F amended effective May 18, 2020 (47:10 Md. R. 517); June 14, 2021 (48:12 Md. R. 473); April 4, 2022 (49:7 Md. R. 466)

Regulation .09F repealed effective November 13, 2023 (50:22 Md. R. 974)

Regulation .10C, D amended effective November 13, 2023 (50:22 Md. R. 974)

Regulation .10E amended effective May 18, 2020 (47:10 Md. R. 517); June 14, 2021 (48:12 Md. R. 473); April 4, 2022 (49:7 Md. R. 466)

Regulation .10E repealed effective November 13, 2023 (50:22 Md. R. 974)

Regulation .11C amended effective May 18, 2020 (47:10 Md. R. 517); June 14, 2021 (48:12 Md. R. 473); April 4, 2022 (49:7 Md. R. 466)

Regulation .11C repealed effective November 13, 2023 (50:22 Md. R. 974)

Regulation .12F amended effective May 18, 2020 (47:10 Md. R. 517); June 14, 2021 (48:12 Md. R. 473); April 4, 2022 (49:7 Md. R. 466)

Regulation .12F repealed effective November 13, 2023 (50:22 Md. R. 974)

Regulation .14 amended effective September 16, 2024 (51:18 Md. R. 809)

Regulation .14E—I adopted effective November 13, 2023 (50:22 Md. R. 974)