Ch. 352

1996 LAWS OF MARYLAND

(VI) EACH MANAGED CARE ORGANIZATION SHALL MAINTAIN
RECORDS OF ALL HEALTH CARE SERVICES:

1. PROVIDED TO ITS ENROLLEES BY SCHOOL-BASED CLINICS;
AND

2. FOR WHICH THE MANAGED CARE ORGANIZATION HAS BEEN
BILLED.

(14) (18) THE DEPARTMENT SHALL ESTABLISH STANDARDS FOR THE
TIMELY DELIVERY OF SERVICES TO ENROLLEES.

(15) THE DEPARTMENT SHALL ESTABLISH A DELIVERY SYSTEM FOR
SPECIALTY MENTAL HEALTH CARE THAT SHALL:

(I) BE DESIGNED AND MONITORED BY THE MENTAL HYGIENE
ADMINISTRATION. WHICH SHALL ESTABLISH THE PERFORMANCE STANDARDS FOR
PROVIDERS IN THE DELIVERY SYSTEM:

(II) BE RESPONSIBLE FOR PROVIDING ALL SPECIALTY MENTAL
HEALTH SERVICES NEEDED BY ENROLLEES WHOSE MENTAL ILLNESS REQUIRES
SPECIALTY CARE:

(III) OFFER A BENEFIT PACKAGE THAT IS DESIGNED TO MEET THE
NEEDS OF ENROLLEES DESCRIBED IN SUBPARAGRAPH (II) OF THIS PARAGRAPH:

(IV) HAVE LINKAGES WITH OTHER PUBLIC SERVICE SYSTEMS;

(V) INCLUDE MANAGED CARE ORGANIZATIONS THAT ARE
COST-EFFECTIVE AND THAT ENTER INTO AGREEMENTS WITH THE DEPARTMENT TO
COMPLY WITH THE PERFORMANCE STANDARDS FOR PROVIDERS IN THE DELIVERS
SYSTEM FOR SPECIALTY MENTAL HEALTH SERVICES: AND

(VI) COMPLY WITH THE QUALITY ASSURANCE. ENROLLEE INPUT,
DATA COLLECTION. AND OTHER REQUIREMENTS SPECIFIED BY THE DEPARTMENT
IN REGULATION.

(15) (I) THE DEPARTMENT SHALL ESTABLISH A DELIVERY SYSTEM FOR
SPECIALTY MENTAL HEALTH SERVICES FOR ENROLLEES OF MANAGED CARE
ORGANIZATIONS.

(II) THE MENTAL HYGIENE ADMINISTRATION SHALL:

1.       DESIGN AND MONITOR THE DELIVERY SYSTEM;

2.       ESTABLISH PERFORMANCE STANDARDS FOR PROVIDERS IN
THE DELIVERY SYSTEM; AND

3. ESTABLISH PROCEDURES TO ENSURE APPROPRIATE AND
TIMELY REFERRALS FROM MANAGED CARE ORGANIZATIONS TO THE DELIVERY SYSTEM
THAT INCLUDE:

A. SPECIFICATION OF THE DIAGNOSES AND CONDITIONS
ELIGIBLE FOR REFERRAL TO THE DELIVERY SYSTEM;

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