Sec. 10.09.80.01. Definitions

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

B. Terms Defined.

(1) “Administrative Service 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) “Behavioral Health Administration” means the administration within the Department that establishes regulatory requirements that behavioral health programs are to maintain in order to become certified or licensed by the Department.

(3) “Community-based substance use disorder program” means a program that provides services in community settings not regulated by the Health Services Cost Review Commission.

(4) “Certification” means the approval issued to a program by the Office of Health Care Quality.

(5) “DATA 2000 waived provider” means a provider who has received a waiver under the Drug Addiction and Treatment Act of 2000 which expands the clinical context of medication assisted opioid dependency treatment and permits qualified physicians, nurse practitioners, and physician assistants to dispense or prescribe certain narcotic medications that have a lower risk of abuse, like buprenorphine, in settings other than an opioid treatment program.

(6) “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.

(7) “Discharge plan” means a written description of specific goals and objectives to assist the participant upon leaving treatment.

(8) "Documentation" means the written medical record.

(9) “Individualized treatment plan” means a written plan of action that is developed and periodically updated and revised to address a participant’s specific service needs.

(10) “Medical Assistance” has the meaning stated in COMAR 10.09.24.02.

(11) “Medically necessary” has the meaning stated in COMAR 10.09.36.01.

(12) “Medication management” means a visit with a physician, nurse practitioner, or physician assistant for the purpose of evaluation, prescribing, and providing medications for substance use disorder symptom reduction, withdrawal management, or medication assisted treatment.

(13) “Office of Health Care Quality (OHCQ)” means the office within the Department responsible for certification and inspection of programs for the Behavioral Health Administration.

(14) “Participant” means an individual who is certified as eligible for, and is receiving, Medical Assistance benefits.

(15) “Program” has the meaning stated in COMAR 10.09.36.01.

(16) “Progress note” means an objective documentation of the participant’s progress in relation to specific treatment goals and objectives.

(17) "Recovery support services" means community-based services provided to people and their families during the initiation, on-going, and post-acute stages of their recovery from substance abuse.

(18) “Substance use disorder” means a maladaptive pattern of substance use leading to clinically significant impairment or distress and manifested by recurrent and significant adverse consequences related to the repeated use of substances.

(19) “Substance use disorder services” means the services for which a participant’s diagnosis and treatment provider meet the criteria specified in COMAR 10.67.08 and this chapter.

(20) "Treatment plan" means a written plan that address the individual's biopsychosocial needs through goals and objectives and is updated as needed according to the treatment modality.