<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".11" citation="COMAR 10.21.20.11" title_num="10" subtitle_num="21" chapter_num="20" heading="Multi-Facility Programs.">
  <paragraph num="A.">
    <text>An OMHC program that operates multiple sites shall assure that each additional site adheres to the application modification as outlined in COMAR 10.21.16.04E.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The program director and the medical director shall, on a routine basis, and as clinically required, provide on-site consultation at each site to ensure adequate clinical and administrative oversight.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The program shall designate for each additional OMHC site:</text>
    <paragraph num="(1)">
      <text>A clinical coordinator who:</text>
      <paragraph num="(a)">
        <text>Is a licensed mental health professional with demonstrated competency in clinical supervision;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is located at each additional OMHC site for 50 percent of the site's regularly scheduled hours;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Has regular, direct access to the medical director and all clinical and administrative resources of the OMHC; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Provides clinical oversight of the individuals served;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A psychiatrist who:</text>
      <paragraph num="(a)">
        <text>Need not be the medical director of the OMHC; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is on-site according to the needs of the individuals served; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>A multidisciplinary licensed mental health professional staff that:</text>
      <paragraph num="(a)">
        <text>Provides evaluation and treatment services;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is in addition to the OMHC psychiatrist; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Includes representatives of two different mental health professions both of which are represented on-site 50 percent of the OMHC's regularly scheduled hours.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Staff at each additional OMHC site shall have direct access to the program director, the medical director, and all other clinical and administrative resources of the OMHC as needed.</text>
  </paragraph>
</regulation>