Md. Code Regs. 10.09.33.01 - Definitions
A. In this
chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Administrative service organization
(ASO)" means the entity with which the Mental Hygiene Administration may
contract to provide the services described in COMAR 10.09.70 for the public
mental health system.
(2) "Care
management tool" means a system that helps accomplish administrative tasks of
the health home, including maintaining a list of health home participants and
scheduling and tracking participants' clinical appointments.
(3) "Care plan" means a written plan of
action that is developed and modified to address a patient's specific
behavioral, somatic, and social service needs, which is maintained in the
individual's medical record and satisfies the following conditions:
(a) Meets the requirements of COMAR
10.47.01.04C;
or
(b) Meets the requirements of
COMAR 10.21.21.06C.
(4) "Caregiver" means a
family member, guardian, or other individual who is not paid to provide care to
the participant and who helps the participant achieve and maintain
wellness.
(5) "Chesapeake Regional
Information System for Our Patients (CRISP)" means the electronic notification
system health home providers are required to use in order to access participant
hospital encounter data.
(6)
"Department" means the Department of Health and Mental Hygiene, the State
agency designated to administer the Maryland Medical Assistance Program under
Title XIX of the Social Security Act,
42 U.S.C §
1396 et seq.
(7) "eMedicaid" means the health information
system in which a health home provider will input information regarding
participants' services and health and social outcomes.
(8) "Full-time equivalent (FTE)" means an
employee who works 40 hours per week.
(9) "Health home" means a provider designated
to offer enhanced care coordination and management services to individuals
affected by, or at risk for, chronic conditions, operating under the conditions
of this chapter.
(10) "HIT" means
health information technology.
(11)
"Managed care organization (MCO)" has the meaning stated in Health-General
Article, §15-101, Annotated Code of Maryland.
(12) "Medical Assistance Program" has the
meaning stated in COMAR 10.09.36.01.
(13) "Mental health case management" means
services covered under COMAR 10.09.45 which assist participants in gaining
access to the full range of mental health services, and necessary medical,
social, financial assistance, counseling, educational, housing, and other
support services.
(14) "Minor"
means an individual who is younger than 18 years old.
(15) "Mobile treatment services (MTS)
program" means a program approved under COMAR 10.63.03.04.
(16) "Opioid treatment program (OTP)",
formerly referred to as opioid maintenance therapy (OMT) programs, means a
program approved to provide opioid maintenance therapy under COMAR 10.63.03.19.
(17) "Participant" means an
individual enrolled in a health home funded by the Medical Assistance
Program.
(18) "Provider" means an
individual, association, partnership, corporation, unincorporated group, or any
other person authorized, licensed, or certified to provide health
services.
(19) "Psychiatric
rehabilitation program (PRP)" means a program approved under COMAR
10.63.03.09 for adults, COMAR
10.63.03.10 for minors, or
both.
Notes
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