Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION › Article 12 - BEHAVIORAL HEALTH SERVICES › Section R9-22-1201 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
Definitions. The
				  following definitions apply to this Article:
"Adult behavioral health therapeutic home" as defined in 9
				  A.A.C. 10, Article 1.
"Agency" for the
				  purposes of this Article means a behavioral health facility, a classification
				  of a health care institution, including a mental health treatment agency
				  defined in A.R.S. §
									36-501,
				  that is licensed to provide behavioral health services according to A.R.S.
				  Title 36, Chapter 4.
"Assessment" means an analysis of a patients need for
				  physical health services or behavioral health services to determine which
				  services a health care institution will provide to the patient.
"Behavior management
				  services" means services that assist the member in carrying out daily living
				  tasks and other activities essential for living in the community, including
				  personal care services.
"Behavioral health
				  therapeutic home care services" means interactions that teach the client
				  living, social, and communication skills to maximize the client's ability to
				  live and participate in the community and to function independently, including
				  assistance in the self-administration of medication and any ancillary services
				  indicated by the client's treatment plan, as appropriate.
".
"Behavioral health services" means medical services, nursing
				  services, health-related services, or ancillary services provided to an
				  individual to address the individual's behavioral health issue.
"Behavioral health technician" means an individual who is not
				  a behavioral health professional who provides behavioral health services at or
				  for a health care institution according to the health care institution's
				  policies and procedures that: a. If the behavioral health services were
				  provided in a setting other than a licensed health care institution, the
				  individual would be required to be licensed as a behavioral professional under
				  A.R.S. Title 32, Chapter 33; and b. Are provided with clinical oversight by a
				  behavioral health professional.
"Case management" for
				  the purposes of this Article, means services and activities that enhance
				  treatment, compliance, and effectiveness of treatment.
"Certified psychiatric
				  nurse practitioner" means a registered nurse practitioner who meets the
				  psychiatric specialty area requirements under A.A.C.
				  R4-19-505(C).
"Clinical oversight" means as described under 9 A.A.C.
				  10.
"Cost avoid" means to
				  avoid payment of a third-party liability claim when the probable existence of
				  third-party liability has been established under
				  42 CFR
				  433.139(b).
Court-ordered evaluation" has the same meaning as
				  "evaluation" in A.R.S. §
									36-501.
Court-ordered pre-petition screening" has the same meaning as
				  "pre-petition screening" in A.R.S. §
									36-501.
Court-ordered treatment" means treatment provided according
				  to A.R.S. Title 36, Chapter 5.
"Crisis services" means immediate and unscheduled behavioral
				  health services provided to a patient to address an acute behavioral health
				  issue affecting the patient.
"Direct supervision" has the same meaning as "supervision" in
				  A.R.S. §
									36-401.
"Emergency medical services provider" has the same meaning as
				  in A.R.S. §
									36-2201.
"Health care institution" has the same meaning as defined in
				  A.R.S. §
									36-401.
"Health care
				  practitioner" means a:
Physician;
Physician assistant;
Nurse practitioner; or
Other individual licensed and authorized by law to use and
				  prescribe medication and devices, as defined in A.R.S. §
									32-1901.
"Licensee" means the
				  same as in 9 A.A.C. 10, Article 1.
"Medical practitioner" means a physician, physician
				  assistant, or nurse practitioner.
"Partial care" means a
				  day program of services provided to individual members or groups that is
				  designed to improve the ability of a person to function in a community, and
				  includes basic, therapeutic, and medical day programs.
"Physician assistant"
				  means the same as in A.R.S. §
									32-2501
				  except that when providing a behavioral health service, the physician assistant
				  shall be supervised by an AHCCCS-registered psychiatrist.
"Psychiatrist" means a
				  physician who meets the licensing requirements under A.R.S. §
									32-1401
				  or a doctor of osteopathy who meets the licensing requirements under A.R.S.
				  §
									32-1800,
				  and meets the additional requirements of a psychiatrist under A.R.S. §
									36-501.
"Psychologist" means a
				  person who meets the licensing requirements under A.R.S. §§
									32-2061
				  and
				  36-501.
"Qualified behavioral
				  health service provider" means a behavioral health service provider that meets
				  the requirements of
				  R9-22-1206.
"Respite" means a
				  period of care and supervision of a member to provide rest or relief to a
				  family member or other person caring for the member. Respite provides
				  activities and services to meet the social, emotional, and physical needs of
				  the member during respite.
"TRBHA" or "Tribal
				  Regional Behavioral Health Authority" means a Native American tribe under
				  contract with ADHS/DBHS to coordinate the delivery of behavioral health
				  services to eligible and enrolled members of the federally-recognized tribal
				  nation.