LTSS - Maryland Department of Information Technology 2026

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The document is an addendum to the HIE Participation Agreement between Chesapeake Regional Information System For Our Patients (CRISP) and a facility providing substance use disorder services. It establishes CRISP as a Qualified Services Organization, allowing access to protected patient information under 42 C.F.R. Part 2 for the purpose of delivering specific services while ensuring compliance with confidentiality regulations. The addendum outlines definitions, services to be performed, compliance obligations, and termination conditions.
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  1. Click ‘Get Form’ to open the LTSS document in the editor.
  2. Begin by filling in the name of your organization in the designated field. Ensure that this matches your official registration.
  3. In the section regarding services, provide detailed information about the Part 2 Information you will share with CRISP. This includes demographic panels of current patients.
  4. Review the compliance section carefully. Confirm that you understand and agree to adhere to all provisions outlined under 42 C.F.R. Part 2.
  5. Complete the signature fields at the end of the document, ensuring that both parties sign and date appropriately to validate the agreement.

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Community-based LTSS programs help older adults and people with disabilities live at home or in local settings. The result: better health and maximum independence. Community-based LTSS also provide help and encouragement to family members caring for older adults and people with disabilities.
To be eligible for Medicaid in Maryland, you must: Be a Maryland resident. Be a U.S. Citizen or a qualified non-citizen see Immigration Status Requirements and exceptions. Meet income limit for your coverage group.
Long Term Services and Supports target individuals over 65, individuals with physical disabilities, individuals with intellectual disabilities, chronically ill children, and individuals eligible for both Medicaid and Medicare (dual eligibles).
Adults age 62 years old or older who are residents in an assisted living facility, or approved for entrance into a facility and have entered into a service agreement with an Area Agency on Aging. Adults who are physically or mentally impaired and in need of assistance with the activities of daily living.

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Pages - LTSSMaryland - Maryland Department of Health

The Maryland Long Term Services and Support System (LTSSMaryland) is a web-based, participant-centered system for service management and case management.

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