Eligibility Requirements

PRP Eligibility For Children:

  1. 3-17 years of age

  2. Referral from a licensed mental health professional

  3. Active Maryland Medicaid health insurance

  4. Actively participating in mental health treatment

  5. Children do not require a qualifying diagnosis however, they do require to have a significant social or emotional disturbance, or behavioral issue that is affecting their life at home or in school.

PRP Eligibility For Adults:

  1. Referral from a licensed mental health professional

  2. Active Maryland Medicaid health insurance

  3. Actively participating in mental health treatment

  4. A qualifying diagnosis that meets the DSM-5 diagnostic criteria for a Public Behavioral Health System (PBHS) in the Priority Population (either Category A or Category B).

Category A Diagnoses:

  • Schizophrenia

  • Schizophreniform Disorder

  • Schizoaffective Disorder, Bipolar Type

  • Schizoaffective Disorder, Depressive Type

  • Major Depressive Disorder, Recurrent Episode, w/ Psychotic Features

  • Bipolar I Disorder, Current or Most Recent Episode Manic, Severe, w/ Psychotic Features

  • Bipolar I Disorder, Current or Most Recent Episode Depressed, Severe, w/ Psychotic Features

  • Other Specified Schizophrenia Spectrum and Other Psychotic Disorder

  • Unspecified Schizophrenia Spectrum and Other Psychotic Disorder

  • Delusional Disorder

Category B Diagnoses:

  • Major Depressive Disorder, Recurrent Episode, Severe

  • Bipolar I Disorder, Current or Most Recent Episode, Manic, Severe

  • Bipolar I Disorder Current or Most Recent Episode, Depressed. Severe

  • Bipolar I Disorder, Current or Most Recent Episode Hypomanic

  • Bipolar I Disorder, Current or Most Recent Episode Hypomanic, Unspecified

  • Bipolar I Disorder, Current or Most Episode Unspecified

  • Bipolar II Disorder

  • Borderline Personality Disorder

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