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<chapter num="06" heading="Substance Abuse Treatment Outcomes Partnerships — (S.T.O.P.) Fund" title_num="10" subtitle_num="47">
  <regulation prefix="Regulation" num=".01" heading="Scope.">
    <text>This chapter specifies the requirements for applying for funding from the Substance Abuse Treatment Outcomes Partnership Fund. This chapter establishes time lines and procedures for requests for partnership funding, guidelines that require programs to bill third-party insurers, and fund management including, but not limited to, authorization of distribution of money.</text>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Definitions.">
    <paragraph num="A.">
      <text>In this chapter, the following terms have the meanings indicated.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Terms Defined.</text>
      <paragraph num="(1)">
        <text>“Department” means the Maryland Department of Health.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>“Eligible functions” means:</text>
        <paragraph num="(a)">
          <text>Transportation to and from treatment services;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Treatment, prevention, or coordination staff;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Data sharing services among counties and other appropriate treatment providers;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Education or outreach programs and materials;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>In-community emergency behavioral health services or crisis stabilization units; or</text>
        </paragraph>
        <paragraph num="(f)">
          <text>Behavioral health programs in schools.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>“Eligible population” means:</text>
        <paragraph num="(a)">
          <text>Mothers of drug-addicted infants;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Parents of children in need of assistance;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Hospital emergency room admittees;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Needy families receiving temporary cash assistance;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Foster care children and parents;</text>
        </paragraph>
        <paragraph num="(f)">
          <text>Children in after-school programs and their parents, including children and parents in programs supported by the Maryland After-School Opportunity Fund;</text>
        </paragraph>
        <paragraph num="(g)">
          <text>Adolescents;</text>
        </paragraph>
        <paragraph num="(h)">
          <text>Parents subject to arrearages in child support payments;</text>
        </paragraph>
        <paragraph num="(i)">
          <text>Drug offenders under the supervision of the Division of Parole and Probation;</text>
        </paragraph>
        <paragraph num="(j)">
          <text>Pretrial correctional inmates;</text>
        </paragraph>
        <paragraph num="(k)">
          <text>Prerelease correctional inmates;</text>
        </paragraph>
        <paragraph num="(l)">
          <text>The general inmate population within county-managed correctional facilities;</text>
        </paragraph>
        <paragraph num="(m)">
          <text>Parents of children entering out-of-home placements or at risk of entering out-of-home placements; or</text>
        </paragraph>
        <paragraph num="(n)">
          <text>Drug offenders under the supervision of the problem solving courts.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(4)">
        <text>“Jurisdiction” means Baltimore City or one of the 23 counties in Maryland.</text>
      </paragraph>
      <paragraph num="(5)">
        <text>“Partnership funding” means money granted from the Substance Abuse Treatment Outcomes Partnership Fund.</text>
      </paragraph>
      <paragraph num="(6)">
        <text>“Proposal” means a plan under this chapter to provide new or expanded substance abuse treatment services.</text>
      </paragraph>
      <paragraph num="(7)">
        <text>“Request for partnership funding” means:</text>
        <paragraph num="(a)">
          <text>A proposal, submitted by the governing bodies of one or more jurisdictions, to provide substance-related disorder treatment services to one or more eligible populations; or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>To provide funding for eligible functions within the requesting jurisdiction or jurisdictions.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(8)">
        <text>“Task Force” means the Task Force to Study Increasing the Availability of Substance Abuse Programs.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Requests for Partnership Funding and Criteria for Awarding Funding.">
    <paragraph num="A.">
      <text>Requests for partnership funding may be submitted to the Department by:</text>
      <paragraph num="(1)">
        <text>The governing body of a jurisdiction or its designee; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The governing bodies of more than one jurisdiction or their designee.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Proposals shall include the following:</text>
      <paragraph num="(1)">
        <text>Identification of one or more eligible populations per jurisdiction;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Eligible functions that will be funded under the plan;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>A description of the plan to provide substance-related disorder services;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Identification of local providers able to provide these services;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>A plan to reach the eligible populations using relevant means of contact;</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Performance and outcome indicators to evaluate the program effectiveness including a description of the expected schedule and methods for measuring performance and outcome;</text>
      </paragraph>
      <paragraph num="(7)">
        <text>A plan to bill third-party insurers;</text>
      </paragraph>
      <paragraph num="(8)">
        <text>A prepared annual expenditure plan which reflects all anticipated income including partnership funding, local, third party, and cash revenue to the partnership program; and</text>
      </paragraph>
      <paragraph num="(9)">
        <text>A statement of the local cash match or local in-kind match, including but not limited to provision of space, staff, or services, that the applicant intends to commit to the effort.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Time Line. Requests for partnership funding shall be received by the Department by April 1 for the following fiscal year.</text>
    </paragraph>
    <paragraph num="D.">
      <text>The Department shall consider the following:</text>
      <paragraph num="(1)">
        <text>Performance and outcome indicators specified;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The degree to which the proposal may reduce the need for other State or local public services or programs intended for the populations targeted by the proposal;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>The extent to which the proposal incorporates the use of excess or otherwise available medical-related facilities, including vacant hospital beds;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>How the proposal fits into a balanced approach to the State’s variety of substance-related disorder needs and populations that serve different geographic areas of the State with partnership funding;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>The extent to which the proposal is part of or consistent with a regional strategy for substance-related disorder treatment programs affecting adjoining jurisdictions; and</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Other factors consistent with Health-General Article, §8-6C-04, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
    <paragraph num="E.">
      <text>The Department may specify in a request for proposals the types of treatment services that are eligible for funding awards.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Fiscal Responsibility by Jurisdiction.">
    <paragraph num="A.">
      <text>The Department may award partnership funding that results in a county being responsible for less than 1/2 of the cost of the approved partnership funding after considering:</text>
      <paragraph num="(1)">
        <text>The financial hardship of the participating county;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Prior and current contributions of funds for substance abuse treatment programs made by the participating county; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Other relevant considerations considered appropriate by the Department.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>A participating jurisdiction shall use partnership funding only to supplement levels of spending by the participating jurisdiction on drug treatment programs.</text>
    </paragraph>
    <paragraph num="C.">
      <text>A participating jurisdiction may not use partnership funding to supplant spending by the participating jurisdiction on drug treatment programs.</text>
    </paragraph>
    <paragraph num="D.">
      <text>A participating jurisdiction may use partnership funding to continue or expand funding for eligible functions if the participating jurisdiction began spending funds on eligible functions after October 1, 2010.</text>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Health-General Article, §§8-6C-01 — 8-6C-04, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date:</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01—.04 adopted as an emergency provision effective January 30, 2001 (28:3 Md. R. 203); adopted permanently effective April 30, 2001 (28:8 Md. R. 762)</annotation>
    <annotation type="History" subtype="Administrative History">Chapter recodified from COMAR 10.47.03 to 10.47.05 effective June 10, 2002 (29:11 Md. R. 882)</annotation>
    <annotation type="History" subtype="Administrative History">Chapter recodified from 10.47.05 to 10.47.06 as an emergency provision effective April 1, 2008 (35:9 Md. R. 894); recodified permanently effective May 5, 2008 (35:9 Md. R. 898)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02B amended effective August 15, 2016 (43:16 Md. R. 901)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .03 amended effective August 15, 2016 (43:16 Md. R. 901)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .04D adopted effective August 15, 2016 (43:16 Md. R. 901)</annotation>
  </annotations>
</chapter>