Md. Code Regs. 10.09.63.04

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.09.63.04 - Covered Services

A. Effective July 1, 2023, the Department shall reimburse for community violence prevention services as described in §B of this regulation when these services:

(1) Are medically necessary; and

(2) Rendered to a participant who:

(a) Has been exposed to community violence or has a personal history of injury resulting from community violence;

(b) Is at an elevated risk of violent injury or retaliation resulting from another act of community violence, as determined by a certified or licensed health care provider or social services provider; and

(c) Has been referred by a certified or licensed health care provider to a certified violence prevention professional to receive community violence prevention services.

B. Community violence prevention services shall include one or more of the following interventions:

(1) Mentorship;

(2) Conflict mediation;

(3) Crisis intervention;

(4) Referrals to certified or licensed health care professionals or social services providers;

(5) Patient education; and

(6) Screening services.

C. The Program shall cover a maximum of 100 30-minute units of services in a rolling 12-month period.

Md. Code Regs. 10.09.63.04

Regulations .04 adopted as an emergency provision effective November 8, 1996 (23:25 Md. R. 1730); adopted permanently effective March 10, 1997 (24:5 Md. R. 408)
Regulation .04 amended as an emergency provision effective July 1, 1998 (25:16 Md. R. 1261); amended permanently effective January 1, 1999 (25:26 Md. R. 1925)
Regulation .04 amended as an emergency provision effective January 5, 2005 (32:6 Md. R. 634); amended permanently effective April 11, 2005 (32:7 Md. R. 679)
Regulation .04 amended effective December 24, 2012 (39:25 Md. R. 1612)
Regulation .04C amended effective 40:21 Md. R. 1775, eff.10/28/2013 ; recodified to 10.67.02.04 effective 46:22 Md. R. 976, eff. 11/1/2019; adopted effective 50:22 Md. R. 974, eff. 11/13/2023