<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.09.89.04" title_num="10" subtitle_num="09" chapter_num="89" heading="Termination of Participant Enrollment.">
  <paragraph num="A.">
    <text>A participant shall be disenrolled from the 1915(i), as of the date established by the Department, if the participant:</text>
    <paragraph num="(1)">
      <text>No longer meets all of the criteria for 1915(i) eligibility specified in §§A—H of Regulation .03 of this chapter;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Is hospitalized for longer than 30 days;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Moves out of the service area and cannot reasonably access services and supports;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Is admitted to and placed in an RTC for longer than 60 days;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Loses eligibility for Maryland Medical Assistance;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Turns 22 years old;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Is detained, committed to a juvenile justice or correctional facility, or incarcerated for longer than 60 days;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Does not meet medical re-certification criteria;</text>
    </paragraph>
    <paragraph num="(12)">
      <text>Does not participate in a Child and Family Team (CFT) meeting within 90 days;</text>
    </paragraph>
    <paragraph num="(13)">
      <text>Is no longer actively engaged in ongoing behavioral health treatment with a licensed mental health professional; or</text>
    </paragraph>
    <paragraph num="(14)">
      <text>Is placed in a group residential facility licensed under COMAR 14.31.05—.07.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>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.</text>
  </paragraph>
</regulation>