Sec. 10.09.90.02. Definitions

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

B. Terms Defined.

(1) “1915(i)” means the 1915(i) Intensive Behavioral Health Services for Children, Youth, and Families program defined in COMAR 10.09.89.

(2) “Care coordination” means services which assist participants in gaining access to a full range of behavioral health services and, as necessary, any medical, social, financial assistance, counseling, educational, housing, and other support services.

(3) “Care coordination organization (CCO)” means an entity with a minimum of 3 years of experience providing care coordination services that:

(a) Are approved by the Department under this chapter; and

(b) Meet the requirements of COMAR 10.09.89 to provide care coordination to participants in the 1915(i) Intensive Behavioral Health Services for Children, Youth, and Families program.

(4) “Care coordinator” means an individual employed through the care coordination organization who is responsible for providing care management services to benefit participants and families, including, but not limited to:

(a) Coordination of child and family team meetings; and

(b) Completion of the initial and revised plan of care.

(5) “Child and family team (CFT)” means the group of individuals, including both formal and informal supports and inclusive of the youth and the youth’s family, responsible for the creation and implementation of the plan of care.

(6) “Co-occurring disorder” means a diagnosis based on the current Diagnostic and Statistical Manual published by the American Psychiatric Association where the participant is indicated as having both a mental illness and substance use disorder.

(7) “Core service agency” has the meaning stated in COMAR 10.21.17.

(8) “Department” has the meaning stated in COMAR 10.09.36.01 and refers to the Department or its designee.

(9) “Medical Assistance Program” has the meaning stated in COMAR 10.09.36.01.

(10) “Mental Health Case Management: Care Coordination for Children and Youth” has the same meaning as “care coordination” as defined in this regulation.

(11) “Mental health professional” has the meaning stated in COMAR 10.21.17.02.

(12) “Mental health services” means those services described in COMAR 10.67.08.

(13) “Minor” means a child or adolescent younger than 16 years old.

(14) “Natural supports” means any individual who plays a positive, but nonprofessional, role in someone’s plan of care.

(15) “Participant” means an individual who meets the qualifications for participation in care coordination that are specified in Regulation .03 of this chapter.

(16) “Plan of care (POC)” means the individualized plan for supports and services prepared according to the requirements outlined in this chapter for a specific participant in care coordination, including a POC developed for 1915(i) participants pursuant to COMAR 10.09.89.

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

(18) “Provider” means the care coordination provider.

(19) “Recipient” has the meaning stated in COMAR 10.09.36.01.

(20) “Residential treatment center (RTC)” has the meaning stated in COMAR 10.07.04.

(21) “Serious emotional disturbance (SED)” has the meaning stated in COMAR 10.21.17.02.

(22) “Young adult” means an individual who is 18 years old or older but not older than 21 years old.