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<chapter num="05" heading="Descriptions and Criteria for Programs Requiring a Non-Accreditation-Based License" title_num="10" subtitle_num="63">
  <regulation prefix="Regulation" num=".01" heading="Scope.">
    <text>This chapter sets forth the descriptions of, and the criteria for, community behavioral health programs that are permitted to operate in Maryland so long as they have valid and current non-accreditation-based licenses under this subtitle. The program shall also meet the requirements of COMAR 10.63.01, 10.63.05—10.63.06.</text>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Requirements for Non-Accreditation Based Licenses.">
    <text>To operate in Maryland, the programs described in this chapter shall have a valid and current non-accreditation-based license to provide community-based behavioral health services.</text>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Covered Programs.">
    <text>This chapter applies to the following programs:</text>
    <paragraph num="A.">
      <text>Substance-Related Disorder Assessment and Referral Program;</text>
    </paragraph>
    <paragraph num="B.">
      <text>DUI Education Program; and</text>
    </paragraph>
    <paragraph num="C.">
      <text>Early Intervention Level 0.5 programs.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Substance-Related Disorder Assessment and Referral Program.">
    <text>To be licensed under this subtitle, a substance-related disorder assessment and referral program shall:</text>
    <paragraph num="A.">
      <text>Be operated by a State or local government entity;</text>
    </paragraph>
    <paragraph num="B.">
      <text>Provide a comprehensive assessment of an individual’s current status and relevant history in the following areas:</text>
      <paragraph num="(1)">
        <text>Alcohol, tobacco, and other drug use (ATOD);</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Employment or financial support;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Gambling behavior;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>ATOD and gambling treatment history;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Mental health;</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Legal involvement;</text>
      </paragraph>
      <paragraph num="(7)">
        <text>Family and social systems;</text>
      </paragraph>
      <paragraph num="(8)">
        <text>Educational involvement; and</text>
      </paragraph>
      <paragraph num="(9)">
        <text>Somatic health, including a review of medication;</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Diagnose behavioral health disorders;</text>
    </paragraph>
    <paragraph num="D.">
      <text>Determine type and intensity of services needed for behavioral health disorders;</text>
    </paragraph>
    <paragraph num="E.">
      <text>Refer to behavioral health services programs and other services as determined by assessment with appropriate follow-up; and</text>
    </paragraph>
    <paragraph num="F.">
      <text>Have clinical staff authorized under the Health Occupations Article to provide the service.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".05" heading="DUI Education Program.">
    <text>To be licensed under this subtitle, a DUI education program shall:</text>
    <paragraph num="A.">
      <text>Provide services to individuals convicted under Transportation Article, §21-902, Annotated Code of Maryland, and ordered under Criminal Procedure Article, §6-219, to attend an education program;</text>
    </paragraph>
    <paragraph num="B.">
      <text>Provide a comprehensive assessment, unless the participant has received an assessment by a licensed or certified clinician, or licensed program within the preceding 45 days, of a participant’s current status and relevant history in the following areas:</text>
      <paragraph num="(1)">
        <text>Alcohol, tobacco, and other drug use (ATOD);</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Employment or financial support;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Gambling behavior;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>ATOD and gambling treatment history;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Mental health;</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Legal involvement;</text>
      </paragraph>
      <paragraph num="(7)">
        <text>Family and social systems;</text>
      </paragraph>
      <paragraph num="(8)">
        <text>Educational involvement; and</text>
      </paragraph>
      <paragraph num="(9)">
        <text>Somatic health, including a review of medications;</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>If the assessment determines that referral to a treatment program or other indicated service is necessary, make the referral and notify the court of the results of the assessment;</text>
    </paragraph>
    <paragraph num="D.">
      <text>Require participants to successfully complete, at a minimum, six weekly, 2-hour sessions for a total of 12 hours;</text>
    </paragraph>
    <paragraph num="E.">
      <text>Have instructors who, at a minimum, are certified as a Certified Supervised Counselor—Alcohol and Drug, as defined by Health Occupations Article, Title 17, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="F.">
      <text>Teach the Administration’s curriculum or an equivalent curriculum approved by the Department, which covers:</text>
      <paragraph num="(1)">
        <text>Scope of the drinking-driver problem;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Drinking driver patterns and characteristics;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>The pharmacology of drugs and alcohol;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>The process of addiction to drugs and alcohol;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>The relationship of substance use to criminal, health, family, and other social problems; and</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Treatment resources; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="G.">
      <text>Report to the court or probation agent, as specified by the court order.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".06" heading="Early Intervention Level 0.5 Program.">
    <text>To be licensed under this subtitle, an early intervention level 0.5 program shall:</text>
    <paragraph num="A.">
      <text>Provide services to individuals:</text>
      <paragraph num="(1)">
        <text>Who meet the ASAM Criteria for level .05;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>For whom a diagnosable substance-related disorder is not documented; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Who are, for a known reason, at risk for developing a substance-related disorder;</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Provide a comprehensive assessment, unless the participant has received an assessment by a licensed or certified clinician or licensed program within the preceding 45 days, of the participant’s current status and relevant history in the following areas:</text>
      <paragraph num="(1)">
        <text>ATOD use;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Employment or financial support;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Gambling behavior;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>ATOD and gambling treatment history;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Mental health;</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Legal involvement;</text>
      </paragraph>
      <paragraph num="(7)">
        <text>Family and social systems;</text>
      </paragraph>
      <paragraph num="(8)">
        <text>Educational involvement; and</text>
      </paragraph>
      <paragraph num="(9)">
        <text>Somatic health, including a review of medications;</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>If the assessment determines that referral to a treatment program or other service is necessary, make a referral to a treatment program or other service as indicated; and</text>
    </paragraph>
    <paragraph num="D.">
      <text>Provide alcohol and drug education services.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".07" heading="Requirements for Programs Requiring Non-Accreditation-Based Licenses.">
    <paragraph num="A.">
      <text>The provisions of this regulation apply to a program with a community-based behavioral health license that does not require accreditation.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Participant Rights.</text>
      <paragraph num="(1)">
        <text>A program shall:</text>
        <paragraph num="(a)">
          <text>Treat each participant with consideration, respect, and full recognition of the participant’s human dignity and individuality;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Provide care and services that are adequate, appropriate, and in compliance with relevant State, local, and federal laws and regulations;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Prohibit physical or mental abuse by the program staff;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Provide an atmosphere free from discrimination;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Prohibit use of any physical restraints;</text>
        </paragraph>
        <paragraph num="(f)">
          <text>Ensure privacy and confidentiality; and</text>
        </paragraph>
        <paragraph num="(g)">
          <text>Permit the participant to refuse to participate in any research.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>A program shall post in a conspicuous area and provide to each participant a statement of participants’ rights.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Grievance Procedures. A program shall:</text>
      <paragraph num="(1)">
        <text>Provide the participant on admission with a description of the program’s grievance policy and procedures, which shall include the:</text>
        <paragraph num="(a)">
          <text>Participant’s right to grieve program decisions, including but not limited to:</text>
          <paragraph num="(i)">
            <text>Discharge; and</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Change in status or services;</text>
          </paragraph>
        </paragraph>
        <paragraph num="(b)">
          <text>Steps of the grievance process; and</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Levels to which the grievance may be taken;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>Take no retaliation against a participant who presents a grievance; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Inform each participant if revisions are made to the grievance policy and the nature and extent of the revisions.</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>Nondiscrimination. A program may not discriminate in the provision of services on the basis of race, creed, color, age, gender, sexual orientation, gender identity, national origin, marital status, disabilities, and any other classification prohibited under State or federal law, including:</text>
      <paragraph num="(1)">
        <text>Americans with Disabilities Act, 42 U.S.C §12101 et seq.; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Fair Housing Act, 42 U.S.C. §3604.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Health-General Article, §§7.5-204, 8-402, 8-404, and 10-901, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: July 1, 2016 (43:10 Md. R. 585)</annotation>
  </annotations>
</chapter>