# COMAR Title 10 — Maryland Department of Health

## Subtitle 67 — Maryland Healthchoice Program

### Chapter 04 — Maryland Medicaid Managed Care Program: Managed Care Organizations

#### Regulation .14 Referral to Behavioral Health ASO.

*COMAR 10.67.04.14*

A. An MCO is responsible for providing medically necessary primary behavioral health services to their enrollees.

B. An enrollee may self-refer to the behavioral health ASO for services described in COMAR 10.09.59 or 10.09.80.

C. If an enrollee’s primary care physician determines that primary behavioral health services are not sufficient to meet the enrollee’s needs, the primary care physician shall refer the enrollee to the behavioral health ASO for services described in COMAR 10.09.59 or 10.09.80.

D. If an MCO determines that primary behavioral health services are not sufficient to meet the enrollee’s needs, the MCO shall refer the enrollee to the behavioral health ASO for services described in COMAR 10.09.59 or 10.09.80.

E. An MCO shall cooperate with the behavioral health ASO in developing referral procedures and protocols.