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<regulation prefix="Regulation" num=".05" citation="COMAR 10.63.01.05" title_num="10" subtitle_num="63" chapter_num="01" heading="Requirements for Licensed Community-Based Behavioral Health Program.">
  <paragraph num="A.">
    <text>A program licensed under this subtitle to provide community-based behavioral health services in Maryland shall comply with the requirements listed in this regulation.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Post-Licensing Inspections.</text>
    <paragraph num="(1)">
      <text>The Department or its designees may make announced or unannounced visits to inspect a program to investigate a complaint.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Department or its designees may inspect and copy records, including, but not limited to:</text>
      <paragraph num="(a)">
        <text>Financial records;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Treatment records; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Service records.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Criminal Background Investigation.</text>
    <paragraph num="(1)">
      <text>To be licensed in accordance with this chapter, a program shall have and follow a written policy that complies with §C(2) of this regulation regarding the criminal history of the program’s employees, contractors, and volunteers.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>At a minimum, the program’s policy shall require that, when deciding whether the criminal history of an individual applying for employment, whether paid or volunteer, and a contractor disqualifies the individual from the employment, the program consider:</text>
      <paragraph num="(a)">
        <text>The age at which the individual committed the crime;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The circumstances surrounding the crime;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Any punishment imposed for the crime, including any subsequent court actions regarding that punishment;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The length of time that has passed since the crime;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Subsequent work history;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Employment and character references; and</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Other evidence that demonstrates whether the employee, contractor, or volunteer poses a threat to the health or safety of a program participant, program staff, or a member of the public.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>The program may not hire an individual as an employee, contractor, or volunteer if the program does not receive and consider the criminal history record information required under this regulation.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>An individual may not be hired as an employee, contractor, or volunteer:</text>
      <paragraph num="(a)">
        <text>For a program serving participants younger than 18 years old, if the individual has been convicted at any time of child abuse or child sexual abuse; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>For a program serving participants 18 years old or older, if the individual has been convicted at any time of abuse or neglect of a vulnerable adult.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>The criminal background investigation policy may be stricter than that required by this regulation, as appropriate, to protect program participants.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>A program shall:</text>
      <paragraph num="(a)">
        <text>Document the programs’:</text>
        <paragraph num="(i)">
          <text>Review of criminal history records of potential employees, contractors, and volunteers;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Decision regarding the impact of the criminal history on the employability of each applicant for employment and on each employee, contractor, and volunteer; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Implementation of the policy required by §C(1) of this regulation; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Maintain the documentation required by this regulation for 3 years after the individual either is not hired or leaves employment with the program.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Applicable Laws. A program licensed in accordance with this chapter shall comply with all applicable federal and State laws and regulations, including the following:</text>
    <paragraph num="(1)">
      <text>The Health Insurance Portability and Accountability Act of 1996 (HIPAA), as amended, and regulations implementing the statute, as amended;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Federal Regulations on Confidentiality of Alcohol and Drug Abuse Patient Records, 42 CFR Part 2, as amended;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>State confidentiality statutes, including:</text>
      <paragraph num="(a)">
        <text>Health-General Article, §4-301, et seq., Annotated Code of Maryland, as amended; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>General Provisions Article, §4-101, et seq., as amended;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Current applicable State confidentiality regulations;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The Americans With Disabilities Act, 42 U.S.C. §12101, et seq.; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>The federal Fair Housing Act, 42 U.S.C. §3604.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Agreement to Cooperate.</text>
    <paragraph num="(1)">
      <text>Before applying for licensure, a program shall enter into an agreement to cooperate with the CSA, LAA, or LBHA that operates in the relevant county or Baltimore City.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The agreement to cooperate shall provide for coordination and cooperation between the parties in carrying out behavioral health activities in the jurisdiction, including but not limited to facilitating:</text>
      <paragraph num="(a)">
        <text>A complaint investigation; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The transition of services if:</text>
        <paragraph num="(i)">
          <text>The program closes; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A program discontinues a service.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>The agreement to cooperate may not include a provision that authorizes the CSA, LAA, or LBHA to prohibit a program from offering services at any location.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Opioid Treatment Services—Non-Discrimination. A program may not exclude or discriminate against an individual on the basis of the individual receiving opioid treatment services.</text>
  </paragraph>
  <paragraph num="G.">
    <text>Critical Incident Reports.  A licensed program shall report all critical incidents to the Department, or its designee, within 5 calendar days following the program receiving knowledge of the incident, on the form required by the Department.</text>
  </paragraph>
</regulation>