Regulation .06 Participant Eligibility — Level II — Moderate Care Coordination.
Regulation .06 Participant Eligibility — Level II — Moderate Care Coordination.LinkCopy Citation
The participant as described in Regulation .03A of this chapter shall meet three or more of the following conditions:
A.
The participant is not linked to behavioral health services, health insurance, or medical services;
B.
The participant lacks basic supports for education, income, food, or transportation;
C.
The participant is homeless or at-risk for homelessness;
D.
The participant is transitioning from one level of intensity to another level of intensity including transitions out of the following levels of service:
(1)
Inpatient psychiatric or substance use services;
(2)
RTC; or
(3)
1915(i) services under COMAR 10.09.89;
E.
Due to multiple behavioral health stressors within the past 12 months, the participant has a history of:
(1)
Psychiatric hospitalizations; or
(2)
Repeated visits or admissions to:
(a)
Emergency room psychiatric units;
(b)
Crisis beds; or
(c)
Inpatient psychiatric units;
F.
The participant needs care coordination services to obtain and maintain community-based treatment and services;
G.
The participant:
(1)
Is currently enrolled in Level III Care Coordination services under this chapter; and
(2)
Has stabilized to the point that Level II is most appropriate;
H.
The participant:
(1)
Is currently enrolled in Level I Care Coordination services under this chapter; and
(2)
Has experienced one of the following adverse childhood experiences during the preceding 6 months:
(a)
Emotional, physical, or sexual abuse;
(b)
Emotional or physical neglect; or
(c)
Significant family disruption or stressors.