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<regulation prefix="Regulation" num=".02" citation="COMAR 10.09.89.02" title_num="10" subtitle_num="09" chapter_num="89" 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>“1915(c)” means a federal waiver that allows states to provide home- and community-based care to individuals who would otherwise be institutionalized.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“1915(i)” means the 1915(i) Intensive Behavioral Health Services for Children, Youth, and Families program described in this chapter.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Administrative services organization (ASO)” has the meaning stated in COMAR 10.67.01.01.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Behavioral Health Administration (BHA)” means the Department’s administration, as defined by Health General Article Title XX, Annotated Code of Maryland, or its designee.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Care coordinator” means an individual employed through the care coordination organization that is responsible for providing case management services to 1915(i) participants and families as described in COMAR 10.09.90.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Caregiver” means an individual with responsibility for 24-hour care and supervision of a minor.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Care coordination organization (CCO)” means an entity with a minimum of 3 years of experience providing care coordination services that is approved by the Department to provide case management services to 1915(i) participants and their families, pursuant to COMAR 10.09.90.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Child and family team (CFT)” means a team of individuals selected by the participant and family to work with them to design and implement the plan of care.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Core service agency (CSA)” has the meaning stated in COMAR 10.21.17.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Crisis plan” means a document that is developed by a CFT to address actions that need to be taken in the event that an individual is experiencing a behavioral health crisis, which is included as part of the plan of care.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Department” means the Maryland Department of Health (MDH) or its designee.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Department of Human Services (DHS)” has the meaning stated in Human Services Article, Title 2, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Department of Public Safety and Correctional Services (DPSCS)” has the meaning stated in Correctional Services Article, Title 2, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Diagnostic Criteria (DC) 0-5” means a system for diagnosing mental health and developmental disorders in infants and toddlers.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Expressive and experiential behavioral services” means the use of art, dance, music, equine, horticulture, or drama to accomplish individualized goals as part of the plan of care.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Family” means:</text>
      <paragraph num="(a)">
        <text>One or more parents and children related by blood, marriage, or adoption, and residing in the same household; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A parent substitute or substitutes, including informal and formal kinship caregivers as set forth in Health-General Article, §20-105, Annotated Code of Maryland, and Education Article, §7-101, Annotated Code of Maryland, or legal guardians, who have responsibility for the 24 hour care and supervision of a child.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(17)">
      <text>“Family peer support” means a service as described in Regulation .09 of this chapter.</text>
    </paragraph>
    <paragraph num="(18)">
      <text>“Family peer support partner” means an individual providing family peer-to-peer support services.</text>
    </paragraph>
    <paragraph num="(19)">
      <text>“Family support organization (FSO)” means an approved entity under Regulation .09D of this chapter.</text>
    </paragraph>
    <paragraph num="(20)">
      <text>“Institution for mental disease (IMD)” has the meaning stated in COMAR 10.67.01.01B.</text>
    </paragraph>
    <paragraph num="(21)">
      <text>“Local departments of social services (DSS)” has the meaning stated in Human Services Article, Title 3, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(22)">
      <text>“Maryland Children’s Health Program (MCHP)” has the meaning stated in COMAR 10.09.43.</text>
    </paragraph>
    <paragraph num="(23)">
      <text>“Medical Assistance Program” has the meaning stated in COMAR 10.67.02.</text>
    </paragraph>
    <paragraph num="(24)">
      <text>“Mental health professional” has the meaning stated in COMAR 10.21.17.02.</text>
    </paragraph>
    <paragraph num="(25)">
      <text>“Natural support” means a family member, friend, or community member, or organization selected by the participant or family, or both, to participate on the CFT.</text>
    </paragraph>
    <paragraph num="(26)">
      <text>“Participant” means an individual who meets the qualifications, as specified in Regulation .03 of this chapter, for benefit eligibility.</text>
    </paragraph>
    <paragraph num="(27)">
      <text>“Plan of care (POC)” means a written document that is:</text>
      <paragraph num="(a)">
        <text>Developed by the CFT that describes the services to be provided to the participant; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Approved by the Department in accordance with 42 CFR §441.301.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(28)">
      <text>“Program” means the Maryland Medical Assistance Program.</text>
    </paragraph>
    <paragraph num="(29)">
      <text>“Provider” means an individual or entity that has enrolled with the Program to provide one or more benefit services covered under this chapter.</text>
    </paragraph>
    <paragraph num="(30)">
      <text>“Public mental health system” means the system for the delivery of mental health treatment and supports to eligible individuals as described in COMAR 10.67.08.</text>
    </paragraph>
    <paragraph num="(31)">
      <text>“Residential treatment center” has the meaning stated in Health-General Article, §19-301, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(32)">
      <text>“Room and board” means rent or mortgage, utilities, maintenance, furnishings, and food provided in or associated with an individual’s place of residence.</text>
    </paragraph>
    <paragraph num="(33)">
      <text>“Respite care” has the meaning stated in COMAR 10.21.27.</text>
    </paragraph>
    <paragraph num="(34)">
      <text>“Serious emotional disturbance (SED)” has the meaning stated in COMAR 10.21.17.</text>
    </paragraph>
    <paragraph num="(35)">
      <text>“Service area” means, during the phase-in of the 1915(i), the geographic area in Maryland where the 1915(i) is available.</text>
    </paragraph>
    <paragraph num="(36)">
      <text>“State Plan” means the Plan described in §1902(a) of Title XIX of the Social Security Act.</text>
    </paragraph>
    <paragraph num="(37)">
      <text>“Supplemental Security Income (SSI)” means a federally administered program providing benefits to needy aged, blind, and disabled individuals under Title XVI of the Social Security Act, 42 U.S.C. §1381 et seq.</text>
    </paragraph>
  </paragraph>
</regulation>