The Howard County Mental Health Authority (HCMHA)
is the Core Service Agency (CSA) for Howard County. Core Service Agencies
were created by legislation in 1991 (Health-General Article, Sections
10-1201 to 10-1203 of the Annotated Code of Maryland). The law defines
a Core Service Agency as the designated county authority, which is
responsible for planning, managing, and monitoring publicly funded
mental health services. This concept of local management allows for
services to be developed to meet the needs of the local community.
The public mental health system covers individuals
who receive medical assistance and the low-income uninsured. For those
with Medical Assistance no co-pay is required. However, individuals
who are low income and uninsured may be required to pay something
towards the cost of the service based on the state’s sliding fee scale.
In the public mental health system all services need
to be pre-authorized in order for the providers of the service to
be paid. The only exception to the pre-authorization requirement is
emergency services and the Mobile Crisis Team. Maryland Health Partners
(MHP) is the agency designated by the state Mental Hygiene Administration
as the administrative agency that authorizes services and pays claims
submitted for those services. The individual seeking services, a family
member or a provider can contact MHP at 1-800-888-1965 to request
authorization for a specific service. In most cases, it is the provider
who contacts MHP requesting authorization for a service on behalf
of the individual.