.05 Covered Services.

A. The Department shall reimburse for the services in §§B—C of this regulation when these services have been documented, pursuant to the requirements in this chapter, as necessary.

B. Mobile crisis team services shall:

(1) Comply with COMAR 10.63.03.20;

(2) Consist of an in-person response by at minimum a two-person team;

(3) Include an initial assessment by a licensed mental health professional, which may be rendered via telehealth only when the licensed mental health professional functions as a third team member;

(4) Involve the following interventions and objectives:

(a) Crisis intervention and stabilization of the individual’s behavioral health crisis;

(b) Safety planning; and

(c) Referrals to community supports, including behavioral health providers, health providers, or social and other services; and

(5) Include mobile crisis follow-up outreach by means of telephone, telehealth, or in-person contact with the individual served, family members, caregivers, or referred providers.

C. Behavioral health crisis stabilization center services shall:

(1) Comply with COMAR 10.63.03.21;

(2) Consist of an initial nursing assessment and physical exam by a registered nurse in collaboration with a physician or psychiatric nurse practitioner;

(3) Include an initial evaluation by an approved physician or psychiatric nurse practitioner in accordance with COMAR 10.63.03.21F;

(4) Include a crisis assessment completed by a licensed mental health professional; and

(5) Involve the following interventions and objectives:

(a) Crisis intervention and stabilization of the individual’s behavioral health crisis;

(b) Safety planning;

(c) Pharmacological interventions, including the ability to initiate withdrawal management capabilities for all substances, and initiate medications for medication assisted treatment for opioid use disorder; and

(d) Referrals to community-based services or to higher levels of care as clinically indicated.