<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".07" citation="COMAR 10.21.07.07" title_num="10" subtitle_num="21" chapter_num="07" heading="Collaboration with Core Service Agency (CSA).">
  <paragraph num="A.">
    <text>If the jurisdiction in which a TGH is located is served by a CSA, the governing body shall document that the program shall:</text>
    <paragraph num="(1)">
      <text>Submit the following information to the CSA:</text>
      <paragraph num="(a)">
        <text>Documentation that the program budget is adequate to support the program's ability to provide authorized services;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The program service plan;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Data that incorporate outcome measures; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A yearly summary that, at a minimum, includes:</text>
        <paragraph num="(i)">
          <text>Relevant financial statements or documentation of an audit that certifies that the TGH is fiscally sound;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Program planning and evaluation, as identified in COMAR 14.31.06.19; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Service utilization data;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Collaborate with the CSA in:</text>
      <paragraph num="(a)">
        <text>The process developed by the CSA for screening and exploring alternatives for an individual served by the TGH for whom inpatient facility admission is being initiated;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The CSA's protocol for resolution of conflict between the TGH and:</text>
        <paragraph num="(i)">
          <text>The child or family of a child served; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Another program or agency; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>The CSA's procedures for prevention of the appearance or occurrence of conflict of interest in the operation and oversight of the program's provision of mental health services;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Contract, as necessary, with the CSA; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Make available to the CSA any medical records that are needed by the CSA for the purpose of:</text>
      <paragraph num="(a)">
        <text>Assessing the quality of care; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Investigating a complaint or grievance.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>If the jurisdiction in which a TGH is located is not served by a CSA, the chairman of the governing body shall document that the program shall submit information to and collaborate with the Administration, as required under this regulation.</text>
  </paragraph>
</regulation>