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<regulation prefix="Regulation" num=".02" citation="COMAR 10.63.07.02" title_num="10" subtitle_num="63" chapter_num="07" 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>“Administration” means the Behavioral Health Administration and its agents or designees.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Administrative law judge (ALJ)” means an individual in the Office of Administrative Hearings authorized under State Government Article, §9-1604, Annotated Code of Maryland, to conduct hearings under this chapter.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Application” means the application made by the inpatient facility to the Administration, which seeks the voluntary or involuntary outpatient admission of an individual to the outpatient civil commitment pilot program.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Department” means the Maryland Department of Health.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Discharge” means the removal or withdrawal of an individual from the outpatient civil commitment pilot program and the termination of the outpatient civil commitment order.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Eligible resident” means an individual who:</text>
      <paragraph num="(a)">
        <text>Has a current residence in Baltimore City or a contiguous zip code; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is willing to establish a residence in Baltimore City or a contiguous zip code.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>“Federal grant program funding” means the funding awarded pursuant to the Substance Abuse Mental Health Services Administrations Assisted Outpatient Treatment Grant Program for Individuals with Serious Mental Illness, established by the Protecting Access to Medicare Act of 2014, section 224.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Inpatient Facility.</text>
      <paragraph num="(a)">
        <text>“Inpatient facility” means an inpatient institution that provides evaluation, care, or treatment for individuals who have mental disorders.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Inpatient facility” includes a Veterans' Administration (VA) hospital.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>“Involuntary inpatient facility admissions” means that an individual has been admitted to an inpatient facility by an ALJ following an involuntary admission hearing pursuant to Health-General Article, §10-632, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Involuntary outpatient admission” means the admission of an individual into the outpatient civil commitment pilot program who shall be subject to conditions imposed by the Administration and ordered by an ALJ following a hearing as described in this chapter.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Legal service provider” means the entity that the Department designates to provide representation for an individual at the proceedings described in this chapter.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Licensed certified social worker-clinical” means an individual who is licensed, certified, or otherwise legally authorized to independently provide the mental health service under Health Occupations Article, Title 19, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Licensed clinical professional counselor” means an individual who is licensed, certified, or otherwise legally authorized to independently provide the mental health service under Health Occupations Article, Title 17, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Licensed master social worker” means an individual who is licensed, certified, or otherwise legally authorized to independently provide the mental health service under Health Occupations Article, Title 19, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>Mental Disorder.</text>
      <paragraph num="(a)">
        <text>“Mental disorder” means a behavioral or emotional illness that results from a psychiatric or neurological disorder.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Mental disorder” includes a mental illness that substantially impairs the mental or emotional functioning of an individual as to make care or treatment necessary or advisable for the welfare of the individual or for the safety of the individual or property of another.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>“Mental disorder” does not include mental retardation or a primary diagnosis of alcohol or drug abuse.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(16)">
      <text>“Office of Administrative Hearings” means the office created under State Government Article, §9-1602, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(17)">
      <text>“Order” means the formal written order issued by an Administrative Law Judge committing an individual into the outpatient civil commitment pilot program.</text>
    </paragraph>
    <paragraph num="(18)">
      <text>“Outpatient civil commitment (OCC) pilot program” means the program established by the Behavioral Health Administration to provide community-based treatment and supports to:</text>
      <paragraph num="(a)">
        <text>Individuals involuntarily ordered by an ALJ to participate in the OCC pilot program as a condition of release from inpatient admission; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Individuals who choose to participate in the OCC pilot program voluntarily after a settlement conference with the legal service provider and a representative of the inpatient facility.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(19)">
      <text>“Physician” means an individual licensed under Health Occupations Article, Title 14, Annotated Code of Maryland, to practice medicine in this State.</text>
    </paragraph>
    <paragraph num="(20)">
      <text>“Program” means the outpatient civil commitment (OCC) pilot program.</text>
    </paragraph>
    <paragraph num="(21)">
      <text>“Psychiatric nurse practitioner” means an individual licensed to practice registered nursing in this State and certified to practice as an advanced practice registered nurse/psychiatric mental health (APRN/PMH) under Health Occupations Article, Title 8, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(22)">
      <text>“Psychiatrist” means a physician who:</text>
      <paragraph num="(a)">
        <text>Is licensed by the Maryland Board of Physicians; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is either:</text>
        <paragraph num="(i)">
          <text>Certified in psychiatry by the American Board of Psychiatry and Neurology; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Has completed the minimum educational and training requirements to be qualified to take the Board of Psychiatry and Neurology examination for certification in psychiatry.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(23)">
      <text>“Psychologist” means an individual who is:</text>
      <paragraph num="(a)">
        <text>Licensed under Health Occupations Article, Title 18, Annotated Code of Maryland, to practice psychology; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Listed in the National Register of Health Service Providers in Psychology.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(24)">
      <text>“Release” means the authorization for an individual who is confined in an inpatient facility under Health-General Article, §10-632, Annotated Code of Maryland, to leave the inpatient facility on the condition of admission to the OCC pilot program.</text>
    </paragraph>
    <paragraph num="(25)">
      <text>“Voluntary inpatient admission” means the admission of an individual to an inpatient facility on the basis of:</text>
      <paragraph num="(a)">
        <text>A signed and endorsed formal application for voluntary admission pursuant to Health-General Article, §10-609 or 10-610, Annotated Code of Maryland;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An informal request for admission pursuant to Health-General Article, §10-609, Annotated Code of Maryland; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>If the voluntary admission is to a VA hospital, the procedure established by the VA hospital.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(26)">
      <text>“Voluntary outpatient admission” means the admission of an individual to the outpatient civil commitment pilot program described in this chapter voluntarily after a settlement conference with the legal service provider and a representative of the inpatient facility.</text>
    </paragraph>
  </paragraph>
</regulation>