Queen Anne's County Local Coordinating Council

The State of Maryland established a State Coordinating Council (SCC) and a Local Coordinating Council (LCC) in each Maryland jurisdiction. The SCCs and LCCs are charged with reviewing cases of youth placed into in-state residential placements and out of state placements to ensure that these placements are necessary, and that there are no other available resources which would allow youth to remain in their homes and communities during treatment. The LCCs also have access to interagency funding, which can be used to return or divert youth from instate residential and out of state placements. The State is committed to serving youth in the least restrictive and most appropriate environments possible, and the SCC and LCCs collaborate with State and local agencies to accomplish this.

The Queen Anne’s County Local Coordinating Council (LCC) ensures that children and their families, with special needs and may need to be placed outside of the home receive the necessary supports and resources to live a successful life. The LCC reviews the situation of each child and family referred and their plan of care to meet the child’s needs. When all community resources have been exhausted and/or it is found to be in the best interests of the child, the LCC will develop and implement an inter-agency plan of care for children in need of residential placement. The LCC will then follow the progress of the child and family and modify the plan as necessary.

If you would like to know more information about the work of the LCC please call (410)7589-6677 or email us at qalmb@qac.org .

LCC FORMS

Documentation required for referral to LCC - Provides a "laundry list" of all documents needed to make a referral to LCC.

Documentation required for referral to SCC - Provides a "laundry list" of all documents needed to make a referral to SCC.

Steps to make a referral to Queen Anne’s County Local Coordinating Council - Explains all the steps that should be taken to make a referral to LCC.

LCC - Release of Information Form - Form to be signed by the caretaker of a child in order to be allowed to have their case heard at LCC meeting.

LCC/SCC Referral Packet - Provides all the most up to date documents needed in order to make a referral to LCC or submit an application to the SCC for review. Please note that the forms must be typed. When finished with the packet save to your computer print and send via email to Cindi Bauer (cbauer@qac.org). The packet includes: release of Information, LCC/SCC Referral Form, LCC Referral Packet Checklist, SCC Referral Packet Check List, 10 Day Waiver and sections 1- 15.

Request for Rehab Option Funding - scroll down to see more information about the Rehab Funding Option and the forms needed to apply for this service.

CSI Clinical Recommendation Form - Form to be completed by a licensed mental health

Maryland Annotated Code - Human Services Article, Section 9-409 -(Formerly Article 49D)

COMAR 14.31.01.02 – 14.31.01.13

Queen Anne's County LCC Policies and Procedures - Approved 11-1-07

LCC Technical Assistance Manual

LMB Manual

Disability Census Codes

Community Services Initiative (CSI) and Rehab Option Comparison Form

professional that will be used in order to determine the eligibility for CSI funding.

Request for Services Contract - This form is to be used by the Case Manager or Lead Agency when they want to begin services for a child (in accordance with their service plan) in which funds will be dispersed from the LMB.

Vendor Approval for Services - Document to be signed by the service provider acknowledging that a contract is forthcoming for the identified child and or family receiving services through care coordination services. Additionally it lists whether or not the vendor is bound by Maryland background check requirements or not.

REHAB OPTION FUNDING INITIATIVE

Funding has been made available for children with mental or developmental disabilities. Eligibility criteria are set forth in the Maryland Annotated Code, Health-General Article, §15-139 (c) (1) (3), which provides that, “the pool of interagency funds established under this subsection shall be used to fund the community-based services and community-based out-of-home placements needed by children with mental or developmental disabilities not in State custody, regardless of eligibility for the State Medical Assistance Program.”

Regulations enacting this “Rehab Option” funding, entitled REHAB OPTION Health General SS 15-139 and COMAR 14.31.08 may be viewed by clicking here.

Mid Shore Draft Rehab Option Plan - Click here to see the draft Mid-Shore LMB plan submitted to the Governor's Office for Children

Click here to see a comparison between the Community Services Initiative (CSI) and Rehab Option.

Apply for Rehab Option Funding

In order for a Rehab Option application to be reviewed for funding it must be complete. The following documents must be completed in full for the application to be reviewed by the LCC.

If you need help completing these forms please contact Diane Lane family navigator by calling: (410) 810-2673

Queen Anne's County Rehab Option Referral form

Rehab Option Financial Statement

Release of Information

Once the forms are complete please contact Diane Lane at (410) 810-2673 or call the Community Partnerships Office: (410)758-6677

Additional Rehab Options Forms

The following forms will used if the application is accepted or to support the rehab option form.

10 Day Waiver Form - Allows a parent or guardian to waive the required 10 day notice period to have an LCC or SCC meeting.

Memorandum of Agreement - Form used after the application is approved and establishes the conditions for the provision of Rehabilitation Option services and funding for the identified child.

Request for Contract - Form typically used by the Care Coordination person once the rehab option or CSI has been approved to implement services funded through rehab option.