Regulation .03 Participant Eligibility.
Regulation .03 Participant Eligibility.LinkCopy Citation
A.
An individual is eligible for health home services if the individual:
(1)
Is a recipient of Maryland Medical Assistance; and
(2)
Meets the following criteria:
(a)
Receives outpatient mental health rehabilitation or treatment services with a PRP or MTS program for a serious and persistent mental illness or serious emotional disturbance, and is not currently receiving:
(i)
1915(i) waiver services; or
(ii)
Mental health case management; or
(b)
Receives treatment with an OTP for an opioid substance use disorder and is at risk for additional chronic conditions based on:
(i)
Current alcohol use, tobacco use, or other non-opioid use; or
(ii)
A history of alcohol, tobacco, or other non-opioid substance dependence.
B.
A health home participant that is no longer receiving services from their PRP, MTS program, or OTP provider may continue to receive health home services for up to 6 months for the purposes of reengagement or transition to another level of care.