<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".07" citation="COMAR 10.09.33.07" title_num="10" subtitle_num="09" chapter_num="33" heading="Health Home Participant Flow.">
  <paragraph num="A.">
    <text>Enrollment.</text>
    <paragraph num="(1)">
      <text>The health home shall enroll an individual only after the individual has been enrolled in the health home provider's applicable PRP, MTS, or OTP services.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>During enrollment, an OTP established as a health home shall identify eligible individuals under the OTP’s care and report the diagnoses related to qualifying risk factors set forth in Regulation .03A(2)(b) of this chapter in the ASO system.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The health home shall provide the individual with a brief description of health home services, including:</text>
      <paragraph num="(a)">
        <text>Explaining the data-sharing elements of the program; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Describing how the individual may opt out if desired.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Following the provision of information in accordance with §A(3) of this regulation, the health home shall obtain the individual's consent to participate in the health home.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Following consent to participate in accordance with §A(4) of this regulation, the health home shall complete the individual's online intake report through the ASO system thereby enrolling the individual into the health home.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>The health home shall:</text>
      <paragraph num="(a)">
        <text>Notify a participant's other treatment providers about health home services; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Encourage other providers' participation in care coordination efforts.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Participation.</text>
    <paragraph num="(1)">
      <text>A health home participant shall receive a minimum of two health home services per month, as defined in Regulation .06 of this chapter and to be documented in the ASO system.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An assigned health home care manager shall monitor the participant's care and health status and coordinate with other staff to provide appropriate health home services.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Discharge.</text>
    <paragraph num="(1)">
      <text>In the event of discharge, the health home shall create a discharge plan that includes referrals to appropriate services and providers.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The health home shall report all discharges and completion of discharge plans in the ASO system.</text>
    </paragraph>
  </paragraph>
</regulation>