Sec. 10.21.30.05. Eligibility  


Latest version.
  • A. Individual Eligibility. An individual is eligible to receive TMH services if the individual:

    (1) Is Medicaid eligible;

    (2) Meets the eligibility and medical necessity criteria for participation in the Public Mental Health System;

    (3) Resides in one of the designated rural geographic areas or whose situation makes person-to-person psychiatric services unavailable; and

    (4) Voluntarily consents to TMH services, which shall be documented in the individual's medical record.

    B. Individual Provider Eligibility. A provider of TMH services shall be a psychiatrist who:

    (1) Has an active:

    (a) License to practice psychiatry in Maryland; and

    (b) Medicaid provider number;

    (2) Complies with professional practice standards; and

    (3) Completes a registration to provide TMH health services.

    C. Originating Site Facility Eligibility. The following Maryland sites may be approved as an originating site for THM health service delivery:

    (1) County government offices appropriate for private clinical evaluation services;

    (2) Critical Access Hospital;

    (3) Federally Qualified Health Center;

    (4) Hospital;

    (5) Outpatient mental health center;

    (6) Physician's office;

    (7) Rural Health Clinic;

    (8) Elementary, middle, high, or technical school with a supported nursing, counseling or medical office; or

    (9) College or university student health or counseling office.

    D. Distant Site Location Eligibility. An approved distant TMH location shall be within the State.