<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.09.90.06" title_num="10" subtitle_num="09" chapter_num="90" heading="Participant Eligibility — Level II — Moderate Care Coordination.">
  <text>The participant as described in Regulation .03A of this chapter shall meet three or more of the following conditions:</text>
  <paragraph num="A.">
    <text>The participant is not linked to behavioral health services, health insurance, or medical services;</text>
  </paragraph>
  <paragraph num="B.">
    <text>The participant lacks basic supports for education, income, food, or transportation;</text>
  </paragraph>
  <paragraph num="C.">
    <text>The participant is homeless or at-risk for homelessness;</text>
  </paragraph>
  <paragraph num="D.">
    <text>The participant is transitioning from one level of intensity to another level of intensity including transitions out of the following levels of service:</text>
    <paragraph num="(1)">
      <text>Inpatient psychiatric or substance use services;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>RTC; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>1915(i) services under COMAR 10.09.89;</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Due to multiple behavioral health stressors within the past 12 months, the participant has a history of:</text>
    <paragraph num="(1)">
      <text>Psychiatric hospitalizations; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Repeated visits or admissions to:</text>
      <paragraph num="(a)">
        <text>Emergency room psychiatric units;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Crisis beds; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Inpatient psychiatric units;</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>The participant needs care coordination services to obtain and maintain community-based treatment and services;</text>
  </paragraph>
  <paragraph num="G.">
    <text>The participant:</text>
    <paragraph num="(1)">
      <text>Is currently enrolled in Level III Care Coordination services under this chapter; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Has stabilized to the point that Level II is most appropriate;</text>
    </paragraph>
  </paragraph>
  <paragraph num="H.">
    <text>The participant:</text>
    <paragraph num="(1)">
      <text>Is currently enrolled in Level I Care Coordination services under this chapter; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Has experienced one of the following adverse childhood experiences during the preceding 6 months:</text>
      <paragraph num="(a)">
        <text>Emotional, physical, or sexual abuse;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Emotional or physical neglect; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Significant family disruption or stressors.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>