Plain Text Law

Regulation .04 Termination of Participant Enrollment.

Regulation .04 Termination of Participant Enrollment.Copy Citation

A.
A participant shall be disenrolled from the 1915(i), as of the date established by the Department, if the participant:
(1)
No longer meets all of the criteria for 1915(i) eligibility specified in §§A—H of Regulation .03 of this chapter;
(2)
Voluntarily chooses to disenroll from the benefit, if the participant is 18 years old, or the participant’s family or medical guardian chooses to do so on behalf of a participant who is younger than 18 years old or in the custody of the State, or both;
(3)
Is hospitalized for longer than 30 days;
(4)
Moves out of the service area and cannot reasonably access services and supports;
(5)
Is admitted to and placed in an RTC for longer than 60 days;
(6)
Is admitted to and placed in a Therapeutic Group Home (TGH) licensed by BHA under COMAR 10.21.07 or an adult residential program approved under COMAR 10.21.22;
(7)
Is placed in a Psychiatric Respite Care program, a non-medical group residential facility located on the grounds of an IMD primarily for the purpose of placement;
(8)
Loses eligibility for Maryland Medical Assistance;
(9)
Turns 22 years old;
(10)
Is detained, committed to a juvenile justice or correctional facility, or incarcerated for longer than 60 days;
(11)
Does not meet medical re-certification criteria;
(12)
Does not participate in a Child and Family Team (CFT) meeting within 90 days;
(13)
Is no longer actively engaged in ongoing behavioral health treatment with a licensed mental health professional; or
(14)
Is placed in a group residential facility licensed under COMAR 14.31.05—.07.
B.
A participant who is not receiving 1915(i) services continuously after reaching age 18 is ineligible to enroll in the program at a later date.