Uninsured “Eligible Uninsured” Consumers

ALL of the following conditions must be met in order to receive services with an Uninsured Eligibility Span: 

Requirements:

  • The consumer requires treatment for a mental health diagnosis(es) covered by the PMHS

  • The consumer has a verifiable Social Security Number

  • The consumer has applied for Medical Assistance (MA), EID, Supplemental Security Income (SSI), or Social Security Disability Insurance (SSDI). If the consumer is not eligible for MA, SSI, or SSDI, documentation from MA or Social Security stating the reason for ineligibility must be provided and maintained in the consumer’s medical record.

  • The consumer is a Maryland Resident (permanent address or homeless)

  • The consumer meets the financial criteria (250% of federal poverty level). (The service provider is responsible for collecting and maintaining documentation from the consumer that validates the consumer’s financial need. This may include documentation of application and outcome for benefits, pay stubs, other income, etc. to document that the consumer meets the financial criteria),

AND

Criteria: The consumer must meet ONE of the following:

 

  • The consumer has received services in the PMHS in the past two years,

  • The consumer is currently receiving SSDI for mental health reasons,

  • The consumer is homeless within the state of Maryland,

  • The consumer was released from prison, jail or a Department of Correction facility within the last 3 months,

  • The consumer was discharged from a Maryland-based psychiatric hospital within the last 3 months,

  • The consumer is receiving services as required by an order of a Conditional Release;

OR

  • The consumer has an urgent need for outpatient mental health services and has been approved by the Local Behavioral Health Authority (LBHA).

  • The consumer is a veteran

2 Taft Court, Suite 200

Rockville, MD 20850

Phone: 301-715-3673 | Fax: 888-496-8354

© 2017 Cornerstone Montgomery

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