<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.09.59.04" title_num="10" subtitle_num="09" chapter_num="59" heading="Provider Requirements for Participation.">
  <paragraph num="A.">
    <text>Individual Practitioner Providers. To participate in the Program as an individual practitioner of specialty mental health services, the provider shall:</text>
    <paragraph num="(1)">
      <text>Be licensed and legally authorized to practice independently by the appropriate Board to practice in the state in which the service is rendered; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Demonstrate, by training and experience, the competency to provide mental health services as one of the following:</text>
      <paragraph num="(a)">
        <text>A licensed certified social worker-clinical;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A nurse psychotherapist (APRN-PMH);</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A pediatric nurse practitioner with a PMHS;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A nurse practitioner-psychiatric (CRNP-PMH);</text>
      </paragraph>
      <paragraph num="(e)">
        <text>A physician who demonstrates the competency to provide specialty mental health services;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>A licensed certified counselor which includes:</text>
        <paragraph num="(i)">
          <text>A licensed clinical professional counselor;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A licensed clinical marriage and family therapist;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>A licensed clinical counselor-alcohol and drug; or</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>A licensed clinical professional art therapist;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(g)">
        <text>A psychiatrist certified by the American Board of Psychiatry and Neurology or possessing the minimum educational and training requirements to take the Board of Psychiatry and Neurology examination for certification in psychiatry; or</text>
      </paragraph>
      <paragraph num="(h)">
        <text>A psychologist.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Community Mental Health Program Providers. To participate in the Program as a community-based mental health program provider, the provider shall be approved under COMAR 10.63.01, 10.63.02, and 10.63.06 and possess licensure by the Behavioral Health Administration as:</text>
    <paragraph num="(1)">
      <text>A psychiatric rehabilitation program serving adults in compliance with COMAR 10.63.03.09;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A psychiatric rehabilitation program serving minors in compliance with COMAR 10.63.03.10;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A mobile treatment program, which shall:</text>
      <paragraph num="(a)">
        <text>Comply with COMAR 10.63.03.04;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Consist of a multidisciplinary team including, at a minimum:</text>
        <paragraph num="(i)">
          <text>A program director that is a mental health professional;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A psychiatrist or psychiatric nurse practitioner (CRNP-PMH);</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>A licensed registered nurse;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>At least one licensed social worker or licensed graduate social worker; and;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>At least one mental health professional who may include the staff identified in §B(3)(b)(iii) and (iv) of this regulation; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>Maintain sufficient staffing to fulfill the following service requirements including:</text>
        <paragraph num="(i)">
          <text>Initial and continuing psychiatric evaluation, diagnosis, and individual treatment planning;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Medication services;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Independent living skills assessment and training;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Health promotion and training;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Interactive therapies;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Crisis intervention services; and</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Support, linkage, and advocacy; or</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>An outpatient mental health clinic in compliance with:</text>
      <paragraph num="(a)">
        <text>COMAR 10.63.03.05; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Staffing requirements as described in COMAR 10.63.03.05 and including:</text>
        <paragraph num="(i)">
          <text>A program director who is a licensed mental health professional or has a master’s degree in a related field and is employed by the OMHC and is on-site at the organization for at least 20 hours per week;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A medical director as described in COMAR 10.63.03.05 and is serving the organization for at least 20 hours per week;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>A multidisciplinary licensed mental health professional staff as described in COMAR 10.63.03.05, including representatives of two different mental health professions, each of whom shall be on-site 50 percent of the OMHC’s regularly scheduled hours;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Graduate level students and interns, who may deliver services under supervision of a licensed mental health professional and when a licensed mental health professional co-signs all documentation of contact with participants.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Federally Qualified Health Centers. To participate in the Program as a Federally Qualified Health Center, the provider shall be in compliance with COMAR 10.09.08.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Other Licensed or Approved Mental Health Providers. To participate in the Program as a specialty mental health provider not defined in §§A—C of this regulation, a provider shall be approved pursuant to COMAR as a:</text>
    <paragraph num="(1)">
      <text>Targeted case management provider in compliance with:</text>
      <paragraph num="(a)">
        <text>If serving children, COMAR 10.09.90; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>If serving adults, COMAR 10.09.45;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Residential treatment center in compliance with COMAR 10.07.04 and 10.09.29;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Hospital in compliance with COMAR 10.09.92—10.09.95;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Non-hospital-based mental health psychiatric day treatment provider in compliance with:</text>
      <paragraph num="(a)">
        <text>COMAR 10.63.03.08;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Staffing requirements described in 10.63.03.08 and including:</text>
        <paragraph num="(i)">
          <text>A multidisciplinary team employed at least on a part-time basis; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A program director;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>Service requirements as described in 10.63.03.08 and including:</text>
        <paragraph num="(i)">
          <text>An individual treatment plan developed by the multi-disciplinary team within 4 working days of admission;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Psychopharmacological treatment;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Occupational therapy;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Activity therapy; and</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Other necessary medical, psychological, and social services; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>COMAR 10.05.01.11 for requirements of the physical environment;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>1915(i) Intensive Behavioral Health Services for Children, Youth, and Families Waiver provider in compliance with COMAR 10.09.89;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Therapeutic behavioral service provider in compliance with COMAR 10.09.34;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Medical laboratory in compliance with COMAR 10.09.09; or</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Local school systems in compliance with COMAR 10.09.50 as a provider of school-based health-related services.</text>
    </paragraph>
  </paragraph>
</regulation>