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<regulation prefix="Regulation" num=".02" citation="COMAR 10.09.06.02" title_num="10" subtitle_num="09" chapter_num="06" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Accrediting body” means an entity approved by the Secretary or the Secretary’s designee, under Health-General Article, §19-2302, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Administrative day” means a day of services rendered to a participant who no longer requires the level of care the provider is licensed to deliver, but still requires the level of care in an ASAM Level 3.3, 3.5, or 3.7 setting.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Administrative service organization (ASO)” means the entity under contract with the Department to provide administrative services to operate the Maryland Public Behavioral Health System.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“American Society of Addiction Medicine (ASAM) criteria” means an instrument designed to indicate placement guidelines for admission, continued stay, and discharge of individuals with a substance use disorder.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Assessment” means the process of ascertaining the treatment needs of an individual seeking behavioral health services.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Available” means a staff member is on-site, available by phone, or on call.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Behavioral Health Administration” means the administration within the Department that establishes regulatory requirements that behavioral health providers are to maintain in order to become certified or licensed by the Department.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Certified counselor” means a provider approved by the Board of Professional Counselors and Therapists under COMAR 10.58.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Coordinating aftercare services” means being responsible for assisting participants with resources, appointments, and discharge plans.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Crisis intervention” means the methods used to offer short term immediate help to individuals who have experienced an event that produces mental, physical, emotional, and behavioral distress.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Department” means the Maryland Department of Health, which is the single State agency designated to administer the Maryland Medical Assistance Program under Title XIX of the Social Security Act, 42 U.S.C. §1396 et seq.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Discharge plan” means a written description of specific goals and objectives to assist the participant upon leaving treatment.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Documentation” means the written medical record.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Evidence-based practice” means a practice approved by the Behavioral Health Administration that applies to certain clinical or rehabilitative interventions provided by public mental health service providers.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Facility director” means an individual on staff who is responsible for overseeing the daily operation of the residential treatment facility.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Individualized treatment plan” means a written plan that:</text>
      <paragraph num="(a)">
        <text>Addresses the individual’s biopsychosocial needs through goals and objectives; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is updated as needed according to the treatment modality.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(17)">
      <text>“License” means the approval issued by the Secretary or designee that permits a behavioral health provider to operate in Maryland.</text>
    </paragraph>
    <paragraph num="(18)">
      <text>“Licensed mental health clinician” means a staff member who is eligible to provide mental health services as outlined in COMAR 10.09.59.04A.</text>
    </paragraph>
    <paragraph num="(19)">
      <text>“Maryland Medical Assistance Program” means the program of comprehensive medical and other health-related care for indigent and medically indigent individuals.</text>
    </paragraph>
    <paragraph num="(20)">
      <text>“Medically necessary” has the meaning stated in COMAR 10.09.36.01.</text>
    </paragraph>
    <paragraph num="(21)">
      <text>“Participant” means an individual who is certified as eligible for, and is receiving, Medical Assistance benefits.</text>
    </paragraph>
    <paragraph num="(22)">
      <text>“Participant” census means a record of participants actively in the care of the provider.</text>
    </paragraph>
    <paragraph num="(23)">
      <text>“Program” means the Maryland Medical Assistance Program.</text>
    </paragraph>
    <paragraph num="(24)">
      <text>“Progress” note means an objective documentation of the participants progress in relation to specific treatment goals and objectives.</text>
    </paragraph>
    <paragraph num="(25)">
      <text>“Provider” means a residential treatment facility that provides professionally directed evaluation, observation, medical monitoring, and addiction treatment in an inpatient setting.</text>
    </paragraph>
    <paragraph num="(26)">
      <text>“Substance use disorder” means a maladaptive pattern of substance use leading to clinically significant impairment or distress and manifested by recurrent and significant adverse consequences related to the repeated use of substances.</text>
    </paragraph>
    <paragraph num="(27)">
      <text>“Substance use disorder services” means the services for which a participants diagnosis and treatment provider meet the criteria specified in COMAR 10.67.08 and this chapter.</text>
    </paragraph>
  </paragraph>
</regulation>