<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12" citation="COMAR 10.21.26.12" title_num="10" subtitle_num="21" chapter_num="26" heading="Transition and Discharge.">
  <paragraph num="A.">
    <text>Discharge Policy. The program director shall:</text>
    <paragraph num="(1)">
      <text>Collaborate with the Administration's 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>Make recommendations for referral for alternative services for an individual for whom the program's services are not appropriate; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Maintain clearly written policies and procedures for:</text>
      <paragraph num="(a)">
        <text>Transition services;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Collaborative discharge from the program; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Making recommendations for discharge and referral for alternative services for an individual for whom the program's services are not appropriate.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Transition. The treatment coordinator shall:</text>
    <paragraph num="(1)">
      <text>Collaborate with the Administration's ASO to provide interim services and assure appropriate referrals for authorization for case management and other service providers before discharge; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>With proper consent and while the individual is still in the RCS program, contact the providers who have been authorized to provide the services designated in the discharge summary.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Collaborative Discharge. When the Administration's ASO, in consultation with the treatment coordinator, determines that services are no longer medically necessary, the rehabilitation coordinator shall:</text>
    <paragraph num="(1)">
      <text>Prepare a discharge plan based on an assessment of the individual's current service needs and mutually agreed upon goals, in collaboration with:</text>
      <paragraph num="(a)">
        <text>The individual, and, for a child, the primary caretaker; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>With proper consent:</text>
        <paragraph num="(i)">
          <text>Family or significant others designated by the individual; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>When feasible, other treatment and service providers;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>When needed, make appropriate recommendations to the Administration's ASO for treatment, rehabilitation, and community supports; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Complete a discharge summary in accordance with COMAR 10.21.17.07D(3).</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Individual's Discontinuation of Services. When an individual discontinues services before a planned, collaborative discharge as described in §C of this regulation, the treatment coordinator shall:</text>
    <paragraph num="(1)">
      <text>When possible, give the individual information about appropriate alternate services;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If authorized by the Administration's ASO, provide appropriate outreach to encourage the individual to access appropriate services;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>With proper consent, provide notice of the discontinuation to:</text>
      <paragraph num="(a)">
        <text>The emergency contact named by the individual at the time of admission;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>When feasible, other service providers, including the individual's somatic care provider, when known; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>When needed, the CSA and the Administration's ASO, for referral for appropriate alternative services; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Complete a discharge summary in accordance with COMAR 10.21.17.07D(3).</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Program's Recommendation to Discontinue Services. If, in consultation with the program director, the treatment coordinator recommends discharging an individual who does not comply with the program's rules or for whom the program's services are not appropriate, the program director shall:</text>
    <paragraph num="(1)">
      <text>Provide written notice of the intention to discharge from services and recommend referral for alternative services:</text>
      <paragraph num="(a)">
        <text>To the individual and, for a child, the parent or guardian and, if other than the parent or guardian, the primary caretaker;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>With proper consent to:</text>
        <paragraph num="(i)">
          <text>The emergency contact named by the individual at the time of admission;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>When feasible, other service providers; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>When needed, the CSA and the Administration's ASO, for referral for appropriate alternative services;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>That includes:</text>
        <paragraph num="(i)">
          <text>The effective date of the action;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The reason for the action; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>When possible, a discharge plan; and</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Complete a discharge summary in accordance with COMAR 10.21.17.07D(3).</text>
    </paragraph>
  </paragraph>
</regulation>