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<section article="ghg" article_name="Health - General" number="10-1202" title_number="10" title_name="Mental Health Law" subtitle_number="12" subtitle_name="Core Service Agencies, Local Addictions Authorities, and Local Behavioral Health Authorities">
  <level label="a">
    <text>A core service agency, local addictions authority, or local behavioral health authority shall:</text>
    <level label="1">
      <text>Be an agent of a county or Baltimore City government which may include a local health department;</text>
    </level>
    <level label="2">
      <text>Unless an exception is requested by an individual county and is granted by the Secretary, serve a county or counties with an estimated population of over 80,000 people;</text>
    </level>
    <level label="3">
      <text>Either purchase services or provide the services directly;</text>
    </level>
    <level label="4">
      <text>Annually submit a program plan to the secretaries of the affected State departments for review and to the Director for approval; and</text>
    </level>
    <level label="5">
      <text>Meet the standards required under this subtitle and, as needed, the rules and regulations set by the Secretary.</text>
    </level>
  </level>
  <level label="b">
    <text>A core service agency, local addictions authority, or local behavioral health authority may not be a for–profit entity.</text>
  </level>
  <level label="c">
    <text>Each core service agency, local addictions authority, or local behavioral health authority shall function under the Secretary’s authority.</text>
  </level>
  <level label="d">
    <text>Once established in a jurisdiction, the core service agency, local addictions authority, or local behavioral health authority shall:</text>
    <level label="1">
      <text>Submit, on an annual basis, a program plan to the Director for approval;</text>
    </level>
    <level label="2">
      <text>Incorporate in its method of governance a mechanism for the local county mental health advisory committee, local drug and alcohol abuse council, or joint mental health and substance–related committee to serve as the advisory committee to the core service agency, local addictions authority, or local behavioral health authority and, if serving more than 1 unit of government, a method of representation serving those jurisdictions;</text>
    </level>
    <level label="3">
      <text>Implement guidelines developed by the Director which establish or designate the authority of the local mental health advisory committee, local drug and alcohol abuse council, or joint mental health and substance–related committee to advise and assist in the planning and evaluation of the publicly funded mental health and substance–related disorder services;</text>
    </level>
    <level label="4">
      <text>In accordance with guidelines developed by the Director, develop planning, management, and accountability mechanisms for the delivery of services including:</text>
      <level label="i">
        <text>Case management;</text>
      </level>
      <level label="ii">
        <text>Data collection which satisfies the Department’s requirements for client tracking and incorporates clear outcome measures to enable the local entity to govern itself and monitor and evaluate the system; and</text>
      </level>
      <level label="iii">
        <text>A yearly summary which includes at a minimum:</text>
        <level label="1">
          <text>Relevant financial statements; and</text>
        </level>
        <level label="2">
          <text>Program evaluation reports which articulate the core service agency’s, local addictions authority’s, or local behavioral health authority’s ability to identify the outcomes of services provided for the target populations and the effects of those services on program planning for the target population;</text>
        </level>
      </level>
    </level>
    <level label="5">
      <text>As an agent of county government, function in any of the following organizational structures:</text>
      <level label="i">
        <text>A unit of county or Baltimore City government;</text>
      </level>
      <level label="ii">
        <text>A local health department;</text>
      </level>
      <level label="iii">
        <text>A quasi–public authority; or</text>
      </level>
      <level label="iv">
        <text>A private, nonprofit corporation;</text>
      </level>
    </level>
    <level label="6">
      <text>Be authorized to screen individuals for whom voluntary or involuntary admission is being initiated to determine whether a less restrictive alternative can be provided;</text>
    </level>
    <level label="7">
      <text>Subject to the availability of funding in the State budget, be authorized to approve funding for a youth’s educational costs incurred during a residential treatment center admission made for medical or psychiatric purposes in accordance with item (6) of this subsection if the educational costs are not covered under § 8–406 of the Education Article; and</text>
    </level>
    <level label="8">
      <text>Provide clear guidelines to avoid either the appearance or occurrence of conflicts of interest in the direction and operation of the core service agency, local addictions authority, or local behavioral health authority or organizations which provide mental health or substance–related services.</text>
    </level>
  </level>
</section>
