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<regulation prefix="Regulation" num=".01" citation="COMAR 10.09.29.01" title_num="10" subtitle_num="09" chapter_num="29" 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>“Active treatment” means inpatient psychiatric services which involve implementation of a professionally developed and supervised individual plan of care described in 42 CFR §441.155, that is:</text>
      <paragraph num="(a)">
        <text>Developed and implemented no later than 14 days after admission; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Designed to achieve the recipient's discharge from inpatient status at the earliest possible time.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>“Acute psychiatric services” mean psychiatric services rendered in response to a severe psychiatric condition requiring intervention in order to bring the patient's symptoms under control.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Admissions team” means an independent team that certifies the need for services (as specified in 42 CFR §§441.152 and 441.153). The certification shall be made by an independent team that:</text>
      <paragraph num="(a)">
        <text>Includes a physician;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Has competence in diagnosis and treatment of mental illness, preferably in child psychiatry; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Has knowledge of the individual's situation.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3-1)">
      <text>“Children's residential treatment center” means a residential treatment center that admits patients 12 years old and younger.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Department” means the Maryland Department of Health, the 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="(5)">
      <text>“Department of Human Services” means the department of State government encompassing the Family Investment Administration, the Social Services Administration, and the Child Support Enforcement Administration.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Family Investment Administration” means the administrative unit of the Department of Human Services and its affiliated local departments responsible for determining a person's eligibility for Medical assistance.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Individual plan of care” means a written plan developed for each recipient in accordance with 42 CFR §§456.180—456.181, and §§456.280—456.281, and defined in 42 CFR §441.155 (individual plan of care). The plan of care shall:</text>
      <paragraph num="(a)">
        <text>Be based on a diagnostic evaluation that includes examination of the medical, psychological, social, behavioral, and developmental aspects of the recipient's situation and reflects the need for inpatient psychiatric care;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Be developed by a team of professionals in consultation with the recipient and the recipient's parents, legal guardians, or others in whose care the recipient will be released after discharge;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>State treatment objectives;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Prescribe an integrated program of therapies, activities, and experiences designed to meet the objectives; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Include, at an appropriate time, post-discharge plans and coordination of inpatient services with partial discharge plans and related community services to ensure continuity of care with the recipient's family, school, and community upon discharge.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>“Local department of social services” means that unit of the Baltimore City or county social services department under the supervision of the Family Investment Administration.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Medical Assistance Program” means a program of comprehensive medical and other health-related care for indigent and medically indigent persons.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Medicare” means the medical insurance program administered by the federal government under Title XVIII of the Social Security Act, 42 U.S.C. §1395 et seq.</text>
    </paragraph>
    <paragraph num="(10-1)">
      <text>“Mental health services” means those services described in COMAR 10.09.59.06 rendered to treat an individual for a diagnosis set forth in COMAR 10.67.08.02M.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Physician” means an individual who is currently licensed to practice medicine in the state in which his practice is located.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Preauthorization” means an approval required from the Department or its designee and transmitted to the provider before services can be rendered.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Program” means the Maryland Medical Assistance Program, which administers comprehensive medical and health-related benefits to indigent and medically indigent persons.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Provider” means a residential treatment center which, through appropriate agreement with the Department, has been identified as a Program provider by the issuance of an individual account number.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Recipient” means a person who is certified as eligible for, and is receiving, Medical Assistance benefits.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Recipient under 21 years old” means a recipient who is either:</text>
      <paragraph num="(a)">
        <text>Under 21 years old; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Twenty-one years old and received residential treatment center services immediately before the recipient reached age 21. The recipient continues to be recognized as a recipient under 21 years old until the earlier of the date the recipient either:</text>
        <paragraph num="(i)">
          <text>No longer requires inpatient psychiatric services; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Reaches 22 years old.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(17)">
      <text>“Residential treatment center” means any institution which falls within the jurisdiction of Health-General Article, §19-308, Annotated Code of Maryland, and is licensed as required by COMAR 10.07.04 or other applicable standards established by the state in which the service is provided.</text>
    </paragraph>
    <paragraph num="(18)">
      <text>“Secretary” means the Secretary of Health.</text>
    </paragraph>
  </paragraph>
</regulation>