<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".10" citation="COMAR 10.21.22.10" title_num="10" subtitle_num="21" chapter_num="22" heading="Discharge, Suspension, and Discontinuation of Residential Services.">
  <paragraph num="A.">
    <text>Discharge Policy. The program director shall:</text>
    <paragraph num="(1)">
      <text>Collaborate with the Administration's administrative services organization (ASO) to:</text>
      <paragraph num="(a)">
        <text>Arrange for discharge from the program when services are no longer authorized by the Administration's ASO; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Discontinue residential services to an individual whose clinical needs exceed the RRP's ability to secure the safety and welfare of the individual or others;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Maintain clearly written policies and procedures for:</text>
      <paragraph num="(a)">
        <text>The process for discharge from the program; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Temporary suspension from a residence; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Discontinue residential services to an individual whose clinical needs exceed the RRP's ability to secure the safety and welfare of the individual or others, including the:</text>
      <paragraph num="(a)">
        <text>Criteria for discontinuation; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Progressive steps and interventions that the program will enact before discontinuation.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Collaborative Discharge. When the Administration's ASO, in consultation with the rehabilitation coordinator, determines that services are no longer medically necessary, the rehabilitation coordinator shall follow the provisions for collaborative discharge outlined in COMAR 10.21.21.07B.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Suspension.</text>
    <paragraph num="(1)">
      <text>If an individual's clinical needs exceed the RRP's ability to secure the safety and welfare of the individual or others, the RRP program director may ask the individual to leave the residence on a temporary basis, as an alternative to the individual's termination from the residence.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>To implement a suspension identified in §C(1) of this regulation, the RRP program director:</text>
      <paragraph num="(a)">
        <text>In writing, shall inform:</text>
        <paragraph num="(i)">
          <text>The individual of the suspension and the reason for the determination; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>When involved and with proper consent, the CSA and the Administration's ASO of the suspension;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Shall give information on placement alternatives; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>May provide temporary housing options.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Program's Recommendation to Discontinue Residential Services. If the program director recommends discontinuing residential services to an individual whose clinical needs exceed the RRP's ability to secure the safety and welfare of the individual or others, the program director shall:</text>
    <paragraph num="(1)">
      <text>Provide written notice of the discontinuation, according to the provisions of COMAR 10.21.21.07D;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>When possible, give the individual information about appropriate alternative services;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>When authorized, arrange for outreach, by PRP staff, to encourage the individual to access appropriate services; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Complete a discharge summary in accordance with COMAR 10.21.17.07D(3).</text>
    </paragraph>
  </paragraph>
</regulation>