<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".07" citation="COMAR 10.09.45.07" title_num="10" subtitle_num="09" chapter_num="45" heading="Limitations.">
  <paragraph num="A.">
    <text>Mental health case management services are advisory in nature.</text>
  </paragraph>
  <paragraph num="B.">
    <text>A restriction may not be placed on a qualified recipient's option to receive mental health case management services.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Mental health case management services do not restrict or otherwise affect:</text>
    <paragraph num="(1)">
      <text>Eligibility for Title XIX benefits or other available benefits or programs, except as limited by §E of this regulation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The freedom of a participant to select from all available services for which the participant is found to be eligible; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A participant’s free choice among qualified providers.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Mental health case management providers may not bill the Program for:</text>
    <paragraph num="(1)">
      <text>The direct delivery of an underlying medical, educational, social, or other service to which a participant has been referred;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Activities integral to the administration of foster care programs;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Activities not consistent with the definition of case management services under Section 6052 of the federal Deficit Reduction Act of 2005 (P.L. 109-171);</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Activities for which third parties are liable to pay; or</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Activities delivered as part of institutional discharge planning.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Reimbursement may not be made for mental health case management services if the participant is receiving a comparable case management service under another Program authority.</text>
  </paragraph>
  <paragraph num="F.">
    <text>A participant's case manager may not be the participant's family member or a direct service provider for the participant.</text>
  </paragraph>
</regulation>