<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.09.33.03" title_num="10" subtitle_num="09" chapter_num="33" heading="Participant Eligibility.">
  <paragraph num="A.">
    <text>An individual is eligible for health home services if the individual:</text>
    <paragraph num="(1)">
      <text>Is a recipient of Maryland Medical Assistance; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Meets the following criteria:</text>
      <paragraph num="(a)">
        <text>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:</text>
        <paragraph num="(i)">
          <text>1915(i) waiver services; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Mental health case management; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Receives treatment with an OTP for an opioid substance use disorder and is at risk for additional chronic conditions based on:</text>
        <paragraph num="(i)">
          <text>Current alcohol use, tobacco use, or other non-opioid use; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A history of alcohol, tobacco, or other non-opioid substance dependence.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>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.</text>
  </paragraph>
</regulation>