Maryland’s behavioral health system is undergoing a regulatory update aimed at ensuring providers meet clear, enforceable standards.
In a recent press release from the Maryland Department of Health (MDH), the Department announced proposed regulations for community-based behavioral health programs. MDH is seeking to reduce fraud, waste, and abuse in the state’s behavioral health system, and they are seeking public input through June 16, 2025.
The proposed regulations are part of Phase 2 in a broader three-phase overhaul:
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Phase 1 (Finalized April 14, 2025): Established civil penalties for behavioral health providers with serious legal or regulatory violations.
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Phase 2 (Proposed May 16, 2025): Tackles longstanding vagueness in COMAR 10.63 and introduces clear standards and processes.
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Phase 3 (Coming Summer 2025): Will lay out detailed requirements tailored to specific behavioral health program types.
Key Highlights of Phase 2:
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Chapter 1 – Compliance and Reporting (10.63.01): Proposes clearer standards to prevent misinterpretation and ensure consistent accountability.
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Chapter 2 – Staffing Requirements (10.63.02): Sets minimum staffing patterns to ensure organizations have the personnel needed for effective service delivery.
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Chapter 6 – Licensure Process (10.63.06): Streamlines how providers apply for and maintain licensure, making the process more transparent and efficient.
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Chapter 9 – Corrective Actions and Sanctions (10.63.09): Expands the Department’s enforcement tools and clarifies potential disciplinary actions for non-compliance.
From the press release:
This action marks a significant step in combating fraud and ensuring quality health care for all Marylanders. As a regulator and state behavioral health authority, we take our responsibility to provide behavioral health care seriously. Maryland individuals and families deserve high-quality health care services they can trust, said Maryland Health Secretary Dr. Meena Seshamani.
These proposals were informed by feedback from over 300 stakeholders across the state, who submitted more than 900 comments during regional meetings. Input came from local behavioral health authorities, nonprofit organizations, providers, recipients of behavioral health services, and other community members.
