<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.21.20.04" title_num="10" subtitle_num="21" chapter_num="20" heading="Program Model.">
  <paragraph num="A.">
    <text>An outpatient mental health center (OMHC) shall provide services that are:</text>
    <paragraph num="(1)">
      <text>Age and culturally appropriate;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Coordinated with other components of the service delivery system; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Focused on recovery and resiliency.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>An OMHC shall ensure that clinical services are only rendered by mental health professionals who are authorized under Health Occupations Article, Annotated Code of Maryland, and appropriately credentialed by the program to perform the service.</text>
  </paragraph>
  <paragraph num="C.">
    <text>An OMHC shall ensure that the services required under this chapter are accessible and available:</text>
    <paragraph num="(1)">
      <text>At least 40 hours per week;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>During some weekend and evening hours; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>For emergency coverage, 24 hours per day, 7 days per week as specified in Regulation .08F of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>An OMHC shall:</text>
    <paragraph num="(1)">
      <text>Have a facility that:</text>
      <paragraph num="(a)">
        <text>Meets all relevant federal, State, or local ordinances, laws, regulations, and orders governing the program;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is not located in a private residence;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Is accessible to the public; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Contains a secure area where records, logs, and business information may be kept; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Prominently display the hours of operation of the facility or office.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Intensive Outpatient Services.</text>
    <paragraph num="(1)">
      <text>An OMHC may provide short-term, intensive outpatient services.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If an OMHC provides intensive outpatient services, the services shall:</text>
      <paragraph num="(a)">
        <text>Be delivered by a multidisciplinary team for a minimum of 3 hours of therapeutic services per day; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Include:</text>
        <paragraph num="(i)">
          <text>At least two group therapies; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Physician services as needed.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>For individuals receiving intensive outpatient services, the individual's ITP shall be reviewed weekly by the individual and the individual's treatment coordinator.</text>
    </paragraph>
  </paragraph>
</regulation>