<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".07" citation="COMAR 10.21.19.07" title_num="10" subtitle_num="21" chapter_num="19" heading="Discharge and Transitioning.">
  <paragraph num="A.">
    <text>Discharge Procedures.</text>
    <paragraph num="(1)">
      <text>An MTS program may discharge an individual from MTS only when:</text>
      <paragraph num="(a)">
        <text>The individual:</text>
        <paragraph num="(i)">
          <text>Is unwilling to continue to accept MTS;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Is admitted to an inpatient facility for longer than 3 months; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Moves from the area served by MTS; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>The Administration's ASO determines that transition and discharge from MTS is medically appropriate.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>When an MTS program discharges an individual under §A(1)(a)(i) or (ii) of this regulation, the MTS program shall, as authorized:</text>
      <paragraph num="(a)">
        <text>Permit the individual to re-enroll in MTS; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Make assertive efforts to re-enroll the individual.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>When an MTS program discharges an individual under §A(1)(a)(iii) of this regulation, the MTS program shall, when possible and as authorized, refer the individual for appropriate mental health and support services in the individual's community.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>When transition and discharge from MTS is authorized under §A(1)(b) of this regulation, the MTS treatment coordinator, in collaboration with an individual, shall:</text>
      <paragraph num="(a)">
        <text>Document the individual's:</text>
        <paragraph num="(i)">
          <text>Achievement of treatment goals;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Anticipated needs for treatment and rehabilitation services; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Readiness for participation in outpatient mental health clinic (OMHC) or other appropriate outpatient mental health services, as demonstrated by keeping appointments, using transportation independently, obtaining and taking prescribed medications, and actively participating in treatment; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>In consultation with the Administration's ASO, prepare a transition plan, according to the provisions of §B of this regulation.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Transition Services. When the Administration's ASO authorizes a transition plan, the individual's treatment coordinator, in consultation with the Administration's ASO, shall:</text>
    <paragraph num="(1)">
      <text>Arrange transition services in collaboration with:</text>
      <paragraph num="(a)">
        <text>The individual;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The treatment team;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>As appropriate and with proper consent, family members and significant others designated by the individual; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Designated transition service providers;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Provide authorized MTS transition services, refer the individual for other appropriate services, and arrange to initiate authorized services before a planned discharge;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>With proper consent and as authorized by the Administration's ASO, facilitate the individual's transition to other appropriate services by:</text>
      <paragraph num="(a)">
        <text>Inviting the designated provider or providers of mental health services to whom the individual has been referred to participate in the transition planning;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Forwarding to the provider or providers a copy of the transition and discharge plan; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>For a period of time based on the individual's needs, periodically meeting with the individual and the provider or providers, as necessary to facilitate transition;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>If the individual does not successfully complete transition, arrange, if authorized by the Administration's ASO, for the continuation of MTS; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Complete a discharge summary in accordance with COMAR 10.21.17.07D(3).</text>
    </paragraph>
  </paragraph>
</regulation>