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<regulation prefix="Regulation" num=".02" citation="COMAR 10.21.07.02" title_num="10" subtitle_num="21" chapter_num="07" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, terms have the meanings stated in COMAR 14.31.05, 14.31.06, and in this chapter.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Administration” means the Mental Hygiene Administration.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Case coordinator” means the mental health professional or residential care specialist supervised by a mental health professional who coordinates the services, as outlined in a child's TGH individual treatment plan (ITP), to the child.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Clinical coordinator” means the mental health professional who is responsible for oversight of the clinical services provided to children in a TGH.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Contact note” means an entry that:</text>
      <paragraph num="(a)">
        <text>Is made in an individual's medical record by a program staff member; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Describes face-to-face, written, or telephone contact with or regarding the individual.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>“Core service agency (CSA)” means the county or multi-county authority, designated under Health-General Article, Title 10, Subtitle 12, Annotated Code of Maryland, and approved by the Department, that is responsible for planning, managing, and monitoring publicly funded mental health services.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Department” means the Maryland Department of Health.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Governor’s Office for Children (GOC)” means the office created under Executive Order 01.01.2005.34.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Group home” means a private group home, as defined in Health-General Article, §10-514, Annotated Code of Maryland, that provides mental health services in a residential facility.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Managed care organization (MCO)” means a health care organization, as defined in Health-General Article, §15-101(f), Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Medical record” means a record as defined in Health-General Article, §4-301, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Mental health professional” means:</text>
      <paragraph num="(a)">
        <text>A psychiatrist; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An individual who is authorized by the Health Occupations Article, Annotated Code of Maryland, to provide the service for which the individual is privileged.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(12)">
      <text>“Primary caretaker” means the:</text>
      <paragraph num="(a)">
        <text>Child's custodial parent or parents;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Adult with whom the child currently resides; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Legal guardian.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(13)">
      <text>“Privileging” means the process by which a program determines that staff members are qualified to perform assigned duties.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Progress summary note” means an entry by an individual's treatment coordinator in the individual's medical record and that describes the individual's progress toward the goals delineated in the individual's ITP.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Secretary” means the Secretary of Health, or the Secretary's designee.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Small private group home” means a residence as defined in Health-General Article, §§10-514(d) and (e) and 10-518(b), Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(17)">
      <text>Therapeutic Group Home (TGH).</text>
      <paragraph num="(a)">
        <text>“Therapeutic group home (TGH)” means a small private group home.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Therapeutic group home (TGH)” does not include a foster home that is the domicile of the foster parent.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>“Therapeutic group home (TGH)” does not include a facility that is:</text>
        <paragraph num="(i)">
          <text>Owned by or leased to the State or any public agency;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Regulated by the Department of Juvenile Services, Department of Human Services, or Developmental Disabilities Administration; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Organized wholly or partly to make a profit.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(18)">
      <text>“Therapeutic milieu” means an environment that is clinically structured to provide mental health treatment in a place other than the individual's residence.</text>
    </paragraph>
  </paragraph>
</regulation>