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<regulation prefix="Regulation" num=".02" citation="COMAR 10.09.45.02" title_num="10" subtitle_num="09" chapter_num="45" 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>“Administrative services organization (ASO)” means the entity with which the Mental Hygiene Administration may contract to provide the services described in COMAR 10.09.70 for the public mental health system.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Adult” means an individual 18 years and older.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Care plan” means the plan prepared according to the requirements outlined in this chapter that delineate the plan of care for a specific participant.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Case manager” means a community support specialist.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Community support specialist” means an individual who is employed by a mental health case management provider to deliver case management services to participants.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Community support specialist associate” means an individual who is employed by a mental health case management provider to assist community support specialists in the provision of mental health case management services to participants.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Community support specialist supervisor” means an individual who is employed or under contract to supervise case management services.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Core service agency (CSA)” has the meaning stated in COMAR 10.21.17.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Department” has the meaning stated in COMAR 10.09.36.01.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Medical Assistance Program” has the meaning stated in COMAR 10.09.36.01.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Mental health case management provider” means a provider that:</text>
      <paragraph num="(a)">
        <text>Is approved under this chapter to provide mental health case management services to adults 18 years or older; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Utilizes a collaborative process of assessment, planning, implementation, coordination, monitoring, and evaluation of the options and services required to meet an individual's health needs through communication and available resources to promote quality cost-effective outcomes.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(12)">
      <text>“Mental health case management services” means services covered under this chapter which assist participants in gaining access to the full range of mental health services, as well as to any additional needed medical, social, financial assistance, counseling, educational, housing, and other support services.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Mental health professional” has the meaning stated in COMAR 10.21.17.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Mental health services” means those services described in COMAR 10.09.70.10C rendered to treat an individual for a diagnosis set forth in COMAR 10.09.70.10A.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Mental Hygiene Administration (MHA)” means the Department's administration that is charged with the responsibility for providing services to mentally ill individuals, as defined in Health-General Article, Title 10, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Nonparticipant” means an individual who does not meet the qualifications for participation in mental health case management that are specified in Regulation .03 of this chapter.</text>
    </paragraph>
    <paragraph num="(17)">
      <text>“Participant” means an individual who meets the qualifications for participation in mental health case management that are specified in Regulation .03 of this chapter.</text>
    </paragraph>
    <paragraph num="(18)">
      <text>“Program” has the meaning stated in COMAR 10.09.36.01.</text>
    </paragraph>
    <paragraph num="(19)">
      <text>“Provider” means the mental health case management services provider.</text>
    </paragraph>
    <paragraph num="(20)">
      <text>“Recipient” has the meaning stated in COMAR 10.09.36.01.</text>
    </paragraph>
    <paragraph num="(21)">
      <text>“Serious and persistent mental disorder” means a disorder that is:</text>
      <paragraph num="(a)">
        <text>Manifested in an individual 18 years old or older; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Diagnosed, according to a current diagnostic and statistical manual of the American Psychiatric Association that is recognized by the Secretary as:</text>
        <paragraph num="(i)">
          <text>Schizophrenic disorder;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Major affective disorder;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Other psychotic disorder; or</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Borderline or schizotypal personality disorders, with the exclusion of an abnormality that is manifested only by repeated criminal or otherwise antisocial conduct.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(22)">
      <text>“Unit of service” means a per day rate for a minimum of 1 hour per day for contacts, including face-to-face contacts with a participant, and non-face-to-face contacts on behalf of the participant with nonparticipants, that are directly related to identifying the needs and supports for helping the individual to access services.</text>
    </paragraph>
  </paragraph>
</regulation>