<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.09.16.03" title_num="10" subtitle_num="09" chapter_num="16" heading="Provider Requirements for Participation.">
  <paragraph num="A.">
    <text>A provider shall meet all conditions for participation as set forth in COMAR 10.09.36.03.</text>
  </paragraph>
  <paragraph num="B.">
    <text>To participate in the Program, a provider of behavioral health crisis services shall:</text>
    <paragraph num="(1)">
      <text>Meet the conditions for licensure and practice as set forth in COMAR 10.63.01, 10.63.02, and 10.63.06;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Have clearly defined and written patient care policies;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Maintain, either manually or electronically, adequate documentation of each contact with a participant as part of the medical record, which, at a minimum, meets the following requirements:</text>
      <paragraph num="(a)">
        <text>Includes the date of service with service start and end times;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Includes the participant’s primary behavioral health complaint or reason for the visit;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Includes a brief description of the service provided, including progress notes;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Includes an official e-Signature, or a legible signature, along with the printed or typed name, and appropriate title of each individual providing services, including each separate member of the mobile crisis team;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Is made available to the Department or its designee as requested; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Complies with all federal statutes and regulations, including but not limited to the Health Insurance Portability and Accountability Act, 42 U.S.C. §1320D et seq., and implementing regulations at 45 CFR Part 2 and 45 CFR Parts 160 and 164.04.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>To participate in the Program, a mobile crisis team provider shall:</text>
    <paragraph num="(1)">
      <text>Comply with COMAR 10.63.03.20;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Be available to provide services outlined in Regulation .05 of this chapter 24 hours a day, 7 days a week;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Provide a timely response with a two-person team as described in COMAR 10.63.03.20;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Comply with staffing and supervision requirements as described in COMAR 10.63.03.20F; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Ensure all crisis team staff members receive training as required and approved by the Department.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>To participate in the Program, a behavioral health crisis stabilization center provider shall:</text>
    <paragraph num="(1)">
      <text>Comply with COMAR 10.63.03.21;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Be open and accessible to walk-ins 24 hours a day, 7 days a week;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Comply with the staffing requirements described in COMAR 10.63.03.21E;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Maintain the ability to initiate withdrawal management capabilities for all substances as well as initiate medication assisted treatment for opioid use disorder; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Equally accept individuals presenting due to an emergency petition and individuals presenting voluntarily.</text>
    </paragraph>
  </paragraph>
</regulation>