Code of Massachusetts Regulations › 101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES › Title 101 CMR 430.00 - Rates for Program of Assertive Community Treatment Services › Section 430.02 - Definitions

Current through Register 1525, July 5, 2024
As used in
				101 CMR
				430.00, unless the context requires otherwise, terms
				have the meanings in
				101
				CMR 430.02.
Client
. An individual who receives
				certain Program of Assertive Community Treatment services purchased by a
				governmental unit.
Cost Report
. The document used to
				report costs and other financial and statistical data. The Uniform Financial
				Statements and Independent Auditor's Report (UFR) is used when required.
EOHHS
. The Executive Office of Health
				and Human Services established under M.G.L. c. 6A.
Extraordinary Circumstances/Flex
				Funding
. A method whereby, subject to availability, a purchasing
				governmental unit may provide resource allocations to a client and/or provider
				across the state. Flexible funding may be provided through a number of means
				including, but not limited to, reimbursement to client for specific support
				services or funds directed to a qualified provider for extraordinary
				circumstances.
Forensic Group Living Environment
				(GLE)
. A five-bed group living environment (GLE) with 24/7
				staffing coverage. Persons served are admitted into the GLE only with DMH
				approval. It is expected that individuals who are referred to the GLE will be
				determined to need more intensive rehabilitation, and additional structure and
				supports. The GLE must be licensed by DMH in accordance with
				104
				CMR 28.15:
General
				Provisions
.
Forensic Program of Assertive Community Treatment
				(PACT)
. The Forensic PACT is a comprehensive service model
				designed to have special capabilities to serve individuals with serious and
				persistent mental illness who have current criminal justice involvement or a
				history of repetitive criminal justice involvement; may benefit from intensive
				coordinated services; and have not responded well to program or office-based
				interventions. Forensic PACT has a multidisciplinary team approach to providing
				active, ongoing, comprehensive, integrated community-based services. These
				services are designed to be responsive to changing needs and are typically long
				term. Services include outreach, engagement, rehabilitation, clinical,
				health-related as well as recovery-based interventions and support. Services
				are individually directed and the team is the single point of accountability
				for all services required by DMH. Forensic PACT is a recovery-oriented service
				with the goal of facilitating each individual's recovery journey.
Governmental Unit
. The Commonwealth,
				any board, commission, department, division, or agency of the Commonwealth and
				any political subdivision of the Commonwealth.
Individual Consideration (I.C.)
.
				Payment rates for certain services are designated as individual consideration
				(I.C.). Where I.C. rates are designated, the purchasing governmental unit will
				determine the appropriate payment as the actual cost of the item or service as
				evidenced by invoice, published tuition amount, or other price reasonably
				obtained by a competitive market for the product or service.
Program of Assertive Community Treatment
				(PACT)
. A comprehensive service model for individuals with serious
				mental illness who may benefit from intensive coordinated services and have not
				responded well to program or office-based interventions. It has a
				multidisciplinary team approach to providing active, ongoing, comprehensive,
				integrated community-based services. These services are designed to be
				responsive to changing needs and are typically long term. Services include
				outreach, engagement, rehabilitation, clinical, health-related as well as
				recovery-based interventions and support. The PACT model is an evidence-based
				practice referred to by the Substance Abuse and Mental Health Services
				Administration (SAMHSA) and the National Alliance on Mental Illness (NAMI) as
				an Assertive Community Treatment (ACT) program.
Provider
. Any individual, group,
				partnership, trust, corporation, or other legal entity that offers services for
				purchase by a governmental unit and that meets the conditions of purchase or
				licensure that have been or may be contracted by a purchasing governmental
				unit.
Reporting Year
. The provider's fiscal
				year for which costs incurred are reported to the Operational Services Division
				on the Uniform Financial Statements and Independent Auditor's Report
				(UFR).