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<section article="ghg" article_name="Health - General" number="7.5-402" title_number="7.5" title_name="Behavioral Health Administration" subtitle_number="4">
  <level label="a">
    <text>Regulations adopted under this subtitle shall include:</text>
    <level label="1">
      <text>The requirements for licensure of a behavioral health program, including a requirement that the behavioral health program:</text>
      <level label="i">
        <level label="1">
          <text>Establish and implement a safety plan for the safety of the individuals served by the behavioral health program; or</text>
        </level>
        <level label="2">
          <text>Implement a safety or emergency plan established for the program for another purpose; and</text>
        </level>
      </level>
      <level label="ii">
        <text>Revise the safety plan not less than every 5 years;</text>
      </level>
    </level>
    <level label="2">
      <text>The process for a behavioral health program to apply for a license;</text>
    </level>
    <level label="3">
      <text>A description of the behavioral health programs that are required to be licensed;</text>
    </level>
    <level label="4">
      <text>Any requirements for the governance of a behavioral health program, including:</text>
      <level label="i">
        <text>A provision prohibiting a conflict of interest between the interests of the provider and those of the individual receiving services;</text>
      </level>
      <level label="ii">
        <text>A provision authorizing a behavioral health program licensed as an outpatient mental health center to satisfy any regulatory requirement that the medical director be on site through the use of telehealth by the director; and</text>
      </level>
      <level label="iii">
        <text>A provision authorizing a psychiatric nurse practitioner to serve as a medical director of an outpatient mental health center accredited in accordance with COMAR 10.63.03.05, including through telehealth;</text>
      </level>
    </level>
    <level label="5">
      <text>Provisions for inspections of a behavioral health program, including inspection and copying of the records of a behavioral health program in accordance with State and federal law; and</text>
    </level>
    <level label="6">
      <text>Provisions for denials, sanctions, suspensions, and revocations of licenses, including imposition of civil monetary penalties, and notice and an opportunity to be heard.</text>
    </level>
  </level>
  <level label="b">
    <level label="1">
      <text>The Secretary may require a behavioral health program to be granted accreditation by an accreditation organization approved by the Secretary under Title 19, Subtitle 23 of this article as a condition of licensure under regulations adopted under this subtitle.</text>
    </level>
    <level label="2">
      <text>By becoming licensed in accordance with paragraph (1) of this subsection, a program agrees to comply with all applicable standards of the accreditation organization.</text>
    </level>
    <level label="3">
      <text>If a behavioral health program is required to be granted accreditation as a condition of licensure under paragraph (1) of this subsection and the accreditation organization requires the behavioral health program to adopt a community relations plan, the behavioral health program shall submit the community relations plan to the Administration.</text>
    </level>
  </level>
  <level label="c">
    <text>Regulations adopted under this subtitle may include provisions setting reasonable fees for applying for a license and for the issuance and renewal of licenses.</text>
  </level>
  <level label="d">
    <text>The Administration may authorize a behavioral health program to satisfy the safety plan requirement under subsection (a)(1) of this section by implementing a safety plan established for the behavioral health program for another purpose.</text>
  </level>
  <level label="e">
    <text>The Department shall adopt regulations under this subtitle that establish food service facility standards that are appropriate to residential programs that have fewer than 17 residents and are licensed under:</text>
    <level label="1">
      <text>COMAR 10.63.03.11;</text>
    </level>
    <level label="2">
      <text>COMAR 10.63.03.12;</text>
    </level>
    <level label="3">
      <text>COMAR 10.63.03.13; or</text>
    </level>
    <level label="4">
      <text>COMAR 10.63.03.14.</text>
    </level>
  </level>
</section>
