Regulation .05 Eligibility.
Regulation .05 Eligibility.LinkCopy Citation
A.
Individual Eligibility. An individual is eligible to receive TMH services if the individual:
(1)
Is Medicaid eligible;
(2)
Meets the eligibility and medical necessity criteria for participation in the Public Mental Health System;
(3)
Resides in one of the designated rural geographic areas or whose situation makes person-to-person psychiatric services unavailable; and
(4)
Voluntarily consents to TMH services, which shall be documented in the individual's medical record.
B.
Individual Provider Eligibility. A provider of TMH services shall be a psychiatrist who:
(1)
Has an active:
(a)
License to practice psychiatry in Maryland; and
(b)
Medicaid provider number;
(2)
Complies with professional practice standards; and
(3)
Completes a registration to provide TMH health services.
C.
Originating Site Facility Eligibility. The following Maryland sites may be approved as an originating site for THM health service delivery:
(1)
County government offices appropriate for private clinical evaluation services;
(2)
Critical Access Hospital;
(3)
Federally Qualified Health Center;
(4)
Hospital;
(5)
Outpatient mental health center;
(6)
Physician's office;
(7)
Rural Health Clinic;
(8)
Elementary, middle, high, or technical school with a supported nursing, counseling or medical office; or
(9)
College or university student health or counseling office.
D.
Distant Site Location Eligibility. An approved distant TMH location shall be within the State.