Sec. 10.67.04.14. Referral to Behavioral Health ASO

Latest version.

A. An MCO is responsible for providing medically necessary primary behavioral health services to their enrollees.

B. An enrollee may self-refer to the behavioral health ASO for services described in COMAR 10.09.59 or 10.09.80.

C. If an enrollees primary care physician determines that primary behavioral health services are not sufficient to meet the enrollees needs, the primary care physician shall refer the enrollee to the behavioral health ASO for services described in COMAR 10.09.59 or 10.09.80.

D. If an MCO determines that primary behavioral health services are not sufficient to meet the enrollees needs, the MCO shall refer the enrollee to the behavioral health ASO for services described in COMAR 10.09.59 or 10.09.80.

E. An MCO shall cooperate with the behavioral health ASO in developing referral procedures and protocols.

                    
                        var val = document.getElementById('citecontent').innerHTML;
                        art.dialog.defaults.title = window.location.href;
                        art.dialog.data('cite', val);
                        art.dialog.data('homeDemoPath', '/Scripts/plus/artDialog/');
                        art.dialog.open('/Scripts/plus/artDialog/citeiframe.html');