<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.09.16.05" title_num="10" subtitle_num="09" chapter_num="16" heading="Covered Services.">
  <paragraph num="A.">
    <text>The Department shall reimburse for the services in §§B—C of this regulation when these services have been documented, pursuant to the requirements in this chapter, as necessary.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Mobile crisis team services shall:</text>
    <paragraph num="(1)">
      <text>Comply with COMAR 10.63.03.20;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Consist of an in-person response by at minimum a two-person team;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Include an initial assessment by a licensed mental health professional, which may be rendered via telehealth only when the licensed mental health professional functions as a third team member;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Involve the following interventions and objectives:</text>
      <paragraph num="(a)">
        <text>Crisis intervention and stabilization of the individual’s behavioral health crisis;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Safety planning; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Referrals to community supports, including behavioral health providers, health providers, or social and other services; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Include mobile crisis follow-up outreach by means of telephone, telehealth, or in-person contact with the individual served, family members, caregivers, or referred providers.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Behavioral health crisis stabilization center services shall:</text>
    <paragraph num="(1)">
      <text>Comply with COMAR 10.63.03.21;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Consist of an initial nursing assessment and physical exam by a registered nurse in collaboration with a physician or psychiatric nurse practitioner;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Include an initial evaluation by an approved physician or psychiatric nurse practitioner in accordance with COMAR 10.63.03.21F;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Include a crisis assessment completed by a licensed mental health professional; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Involve the following interventions and objectives:</text>
      <paragraph num="(a)">
        <text>Crisis intervention and stabilization of the individual’s behavioral health crisis;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Safety planning;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Pharmacological interventions, including the ability to initiate withdrawal management capabilities for all substances, and initiate medications for medication assisted treatment for opioid use disorder; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Referrals to community-based services or to higher levels of care as clinically indicated.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>