Common use of Accredited Program Types Clause in Contracts

Accredited Program Types. ☐ Behavioral Health Crisis Stabilization ☐ Psychiatric Rehabilitation Program for Minors (PRP-M) ☐ Integrated Behavioral Health ☐ Residential Crisis Services (RCS) ☐ Intensive Outpatient Treatment Level 2.1 ☐ Residential: Low Intensity Level 3.1 ☐ Mobile Crisis Team (MCT) ☐ Residential: Medium Intensity Level 3.3 ☐ Mobile Treatment Services (MTS) ☐ Residential: High Intensity Level 3.5 ☐ Opioid Treatment Services (OTS) ☐ Residential: Intensive Level 3.7 ☐ Outpatient Mental Health Center (OMHC) ☐ Residential Rehabilitation Program (RRP) ☐ Outpatient Treatment Level 1 ☐ Respite Care Services (RPCS) ☐ Partial Hospitalization Treatment Level 2.5 ☐ Substance Related Disorder (SRD) ☐ Psychiatric Rehabilitation Program for Adults (PRP-A) ☐ Supported Employment Program (SEP) ☐ Opioid Treatment ☐ Withdrawal Management As required under COMAR 10.63.01.05, enters into the following agreement to provide for coordination and cooperation between the parties in carrying out behavioral health activities in the jurisdiction, including complaint investigation and the transition of services if the program closes. Signature Date Click here to enter text. Print Name Signature Date Click here to enter text. Print Name B. Terms Defined.

Accredited Program Types. ☐ Behavioral Health Crisis Stabilization ☐ Psychiatric Rehabilitation Program for Minors (PRP-M) ☐ Integrated Behavioral Health ☐ Residential Crisis Services (RCS) ☐ Intensive Outpatient Treatment Level 2.1 ☐ Residential: Low Intensity Level 3.1 ☐ Mobile Crisis Team (MCT) ☐ Residential: Medium Intensity Level 3.3 ☐ Mobile Treatment Services (MTS) ☐ Residential: High Intensity Level 3.5 ☐ Opioid Treatment Services (OTS) ☐ Residential: Intensive Level 3.7 ☐ Outpatient Mental Health Center (OMHC) ☐ Residential Rehabilitation Program (RRP) ☐ Outpatient Treatment Level 1 ☐ Respite Care Services (RPCS) ☐ Partial Hospitalization Treatment Level 2.5 ☐ Substance Related Disorder (SRD) ☐ Psychiatric Rehabilitation Program for Adults (PRP-A) ☐ Supported Employment Program (SEP) ☐ Opioid Treatment ☐ Withdrawal Management As required under COMAR 10.63.01.05, enters into the following agreement to provide for coordination and cooperation between the parties in carrying out behavioral health activities in the jurisdiction, including complaint investigation and the transition of services if the program closes. Signature Date Click here to enter text. Print Name Signature Date Click here to enter text. Print Name B. Terms Defined.

Accredited Program Types. ☐ Behavioral Health Crisis Stabilization ☐ Group Homes for Adults with Mental Illness Psychiatric Rehabilitation Program for Minors (PRP-M) ☐ Integrated Behavioral Health ☐ Residential Crisis Services (RCS) ☐ Intensive Outpatient Treatment Level 2.1 ☐ Residential: Low Intensity Level 3.1 ☐ Mobile Crisis Team Treatment Services (MCTMTS) ☐ Residential: Medium Intensity Level 3.3 ☐ Mobile Treatment Services (MTS) ☐ Residential: High Intensity Level 3.5 ☐ Opioid Treatment Services (OTS) ☐ Residential: Intensive Level 3.7 ☐ Outpatient Mental Health Center (OMHC) ☐ Residential: High Intensity Level 3.5 Outpatient Treatment Level 1 Residential: Intensive Level 3.7 Partial Hospitalization Treatment Level 2.5 Residential Rehabilitation Program (RRP) ☐ Outpatient Psychiatric Day Treatment Level 1 ☐ Program (PDTP) Respite Care Services (RPCS) ☐ Partial Hospitalization Treatment Level 2.5 ☐ Substance Related Disorder (SRD) ☐ Psychiatric Rehabilitation Program for Adults (PRP-A) ☐ Supported Employment Program (SEP) ☐ Opioid Treatment ☐ Withdrawal Management * Program name should match the corporate/business name included on the application for licensure. As required under COMAR 10.63.01.05,   enters into the following agreement with   to provide for coordination and cooperation between the parties in carrying out behavioral health activities in the jurisdiction, including complaint investigation and the transition of services if the program closes. (Please note that the agreement may not include a provision to prohibit a program from offering services at any location.) _____________________________________ _____­­­­­­­­­____________________________ Signature Date Click here to enter text. _____________________________________ Print Name Signature Date Click here to enter text. Print Name B. Terms Defined.Name