This chapter identifies those programs that are required to be accredited in order to receive a license to provide community-based behavioral health services. The following programs shall require an accreditation-based license under this chapter: Group Homes for Adults with Mental Illness programs; Integrated Behavioral Health programs; Intensive Outpatient Treatment Level 2.1 programs; Mobile Treatment Services (MTS) programs; Outpatient Mental Health Center (OMHC) programs; Outpatient Treatment Level 1 programs; Partial Hospitalization Treatment Level 2.5 programs; Psychiatric Day Treatment Program (PDTP) programs; Psychiatric Rehabilitation Program for Adults (PRP-A) programs; Psychiatric Rehabilitation Program for Minors (PRP-M) programs; Residential Crisis Services (RCS) programs; Residential: Low Intensity Level 3.1 programs; Residential: Medium Intensity Level 3.3 programs; Residential: High Intensity Level 3.5 programs; Residential: Intensive Level 3.7 programs; Residential Rehabilitation Program (RRP) programs; Respite Care Services (RPCS) programs; Supported Employment Program (SEP) programs; Mobile Crisis Team programs; and Behavioral Health Crisis Stabilization Center (BHCSC) programs. Of the licensed community-based behavioral health services programs listed in §A of this regulation, the following may provide the services identified in §C of this regulation, so long as the program’s license specifically authorizes the service: Integrated Behavioral Health programs; Intensive Outpatient Treatment Level 2.1 programs; Outpatient Treatment Level 1 programs; Partial Hospitalization Treatment Level 2.5 programs; Residential: Low Intensity Level 3.1 programs; Residential: Medium intensity Level 3.3 programs; Residential: High intensity Level 3.5 programs; and Residential: Intensive Level 3.7 programs. Programs listed in §B of this regulation and licensed to provide community-based behavioral health services may provide the following services so long as the program’s license specifically authorizes the service: Withdrawal Management Service; and Opioid Treatment Service. In addition to complying with the requirements for licensed community-based behavioral health programs specified in COMAR 10.63.01.05, a program with an accreditation-based license to provide community-based behavioral health services in Maryland shall comply with this regulation. A program with an accreditation-based license shall comply with the requirements and meet the standards of the accreditation organization by which it is accredited. The Department or its designee may enforce any requirement or standard of the accreditation organization by which a program is accredited. In addition to the post-licensing inspections provided for in COMAR 10.63.01.05B, a program with an accreditation-based license shall be subject to inspection by the Department or its designees in cases in which significant concerns have been raised regarding operation of the program or the organization that accredited the program, in order to: Determine compliance with a requirement under its accreditation; Follow-up on any problem identified by the accreditation organization that accredited the program; or Validate the findings of the accreditation organization that accredited the program. A licensed halfway house and group home shall ensure that its sites comply with Health-General Article, §§8-406 and 10-518, Annotated Code of Maryland, as follows: A small halfway house or private group home is considered conclusively a single-family dwelling for purposes of zoning, and may be located in all residential zones; A large halfway house or private group home is considered conclusively a multi-family dwelling for purposes of zoning and may be located in zones of similar density; and A halfway house or a private group home may not be made subject to any special exception, conditional use permit, or procedure that differs from that required for a single-family dwelling or a multi-family dwelling of similar density in the same zone. Health-General Article, §§7.5-204, 8-402, 8-404, 10-901, and 10-1402, Annotated Code of Maryland Effective date: July 1, 2016 (43:10 Md. R. 585) Regulation .02A amended effective May 27, 2024 (51:10 Md. R. 526)