Code of Massachusetts Regulations › 130 CMR - DIVISION OF MEDICAL ASSISTANCE › Title 130 CMR 461.000 - Community Support Program Services › Section 461.402 - Definitions

Current through Register 1525, July 5, 2024
The following terms used in
				130 CMR
				461.000 have the meanings given in
				130
				CMR 461.402, unless the context clearly
				requires a different meaning.
Adverse Incident
- an occurrence that
				represents actual or potential serious harm to the well-being of a member or to
				others under the care of the community support program. Adverse incidents may
				be the result of the actions of a member served, actions of a staff member
				providing services, or incidents that compromise the health and safety of the
				member, or operations of the provider.
At Risk of Homelessness
- any member
				who does not have sufficient resources or support networks
				(
e.g.
, family, friends, faith-based or other social networks)
				immediately available to prevent them from moving to an emergency shelter or
				another place not meant for human habitation.
Behavioral Health Supports for Individuals with
				Justice Involvement (BH-JI)
- supports to assist justice-involved
				MassHealth-eligible members in navigating and engaging with health care
				services. Supports include in-reach and re-entry supports for individuals
				releasing from correctional institutions, as well as community supports
				post-release for members who are not already receiving CSP-JI services.
Behavioral Health Disorder
- any
				disorder pertaining to mental health or substance use as defined by the current
				edition of the Diagnostic and Statistical Manual of Mental Disorders.
Certified Peer Specialist (CPS)
- a
				person who has been trained by an agency approved by the Department of Mental
				Health (DMH) who is a self-identified person with lived experience of a mental
				health disorder and wellness who can effectively share their experiences and
				serve as a mentor, advocate, or facilitator for a member experiencing a mental
				health disorder.
Community Support Program (CSP or the
				Program)
- behavioral health diversionary services provided
				through community-based, mobile, paraprofessional staff to members, as set
				forth in
				130 CMR
				461.000.
Community Support Program for Homeless Individuals
				(CSP-HI)
- a specialized CSP service to address the health-related
				social needs of members who
(1) are
			 experiencing homelessness and are frequent users of acute health MassHealth
			 services, as defined by EOHHS; or
(2) are experiencing chronic homelessness, as
			 defined by the U.S. Department of Housing and Urban Development. Community
			 Support Program for Individuals with Justice Involvement (CSP-JI) - a
			 specialized CSP service to address the health-related social needs of members
			 with justice involvement and have a barrier to accessing or consistently
			 utilizing medical and behavioral health services, as defined by EOHHS. CSP-JI
			 includes behavioral health and community tenure sustainment supports.
Community Support Program Tenancy Preservation
				Program (CSP-TPP)
- a specialized CSP service to address the
				health-related social needs of members who are at risk of homelessness and
				facing eviction as a result of behavior related to a disability. CSP-TPP works
				with the member, the Housing Court, and the member's landlord to preserve
				tenancies by connecting the member to community-based services in order to
				address the underlying issues causing the lease violation.
Correctional Institution
- a county
				house of corrections, county jail, or Department of Corrections prison
				facility.
Criminogenic Needs
- needs that, if
				addressed through targeted interventions and strategies, may lower an
				individual's risk of further criminal activity.
Detainee
- a person in custody of a
				correctional institution who is not sentenced and is awaiting the outcome of a
				legal issue.
Eviction
- the process of obtaining a
				court order to remove a tenant and other occupants from a rental property
				including serving either a Notice to Quit or a request for temporary,
				preliminary or permanent relief. Eviction may also refer to any instance in
				which such relief has been granted.
Homelessness
- a condition of any
				member who lacks a fixed, regular, and adequate nighttime residence, and who
				has a primary nighttime residence that is a public or private place not
				designed for or ordinarily used as a regular sleeping accommodation for human
				beings including a car, park, abandoned building, bus or train station,
				airport, or camping group; or who is living in a supervised publicly or
				privately operated emergency shelter designated to provide temporary living
				arrangements, including congregate shelters, transitional housing, and hotels
				and motels paid for by charitable organizations or by federal, state, or local
				government programs for low-income individuals. This includes those members who
				are exiting an institution (
e.g
., jail, hospital) where they
				resided for 90 days or less and were residing in an emergency shelter or place
				not meant for human habitation immediately before entering the
				institution.
Inmate
- an individual who is in
				custody and held involuntarily through operation of criminal law in a
				correctional institution.
Justice Involvement or Justice
				Involved
- a member who is a former inmate or detainee of a
				correctional institution who has been released from a correctional institution
				within the past year; or an individual under the supervision of the
				Massachusetts Probation Service, Massachusetts Parole Board or both, as
				determined by Massachusetts Probation Service or the Massachusetts Parole
				Board.
Mental Health Disorder
- any disorder
				pertaining to mental health as defined by the current edition of the Diagnostic
				and Statistical Manual of Mental Disorders.
Notice to Quit
- a written notice from
				a landlord to a tenant that formally terminates a tenancy. Properly terminating
				the tenancy is the first part of the eviction process.
Parent Community Support Program
- the
				central location of the community support program, at which most of the
				administrative, and organizational services are performed. The parent program
				oversees the satellite locations and must ensure compliance with these
				regulations at its parent and satellite locations.
Parole
- the procedure whereby certain
				inmates are released prior to the expiration of their sentence, permitting the
				remainder of their sentence to be served in the community under supervision and
				subject to specific rules and conditions of behavior.
Permanent Supportive Housing (PSH)
- a
				model of housing that combines ongoing subsidized housing matched with flexible
				health, behavioral health, social, and other support services. "Housing First"
				is a specific PSH approach that prioritizes supporting people experiencing
				homelessness to enter low-threshold housing as quickly as possible and then
				providing supportive services necessary to keep them housed.
Probation
- the portion of a sentence
				that the court orders to be served in the community under the supervision of
				the Massachusetts Probation Service, as authorized by M.G.L. c. 279,
				§§ 1 and 1A.
Re-entry
- the transition of inmates
				and detainees from correctional institutions back into the community.
Release of Information
- a document
				that allows a member to authorize and revoke what information they want to
				release from their record, who they want it released to, how long it can be
				released for, and under what statutes and guidelines it is released.
Restoration Center
- a designated
				entity that provides behavioral health services to individuals in mental health
				or substance use crisis, diverting individuals with behavioral health
				conditions from arrest or unnecessary hospitalization
Satellite Community Support Program
-
				a community support program at a different location from the parent community
				support program that operates under the fiscal, administrative, and personnel
				management of the parent community support program, including licensure as
				applicable, and provides eligible CSP services to eligible members in
				accordance with this regulation.
Specialized Community Support Program
- a community support program that provides targeted CSP services to members
				based on their unique situation. For the purposes of this regulation,
				specialized CSPs include CSP for Homeless Individuals (CSP-HI), CSP Tenancy
				Preservation Program (CSP-TPP), and CSP for Individuals with Justice
				Involvement (CSP-JI). All sections of
				130 CMR
				461.000 apply to specialized CSP unless noted.
Substance Use Disorder
- any disorder
				pertaining to substance use as defined by the current edition of the Diagnostic
				and Statistical Manual of Mental Disorders.
Telehealth
- the use of synchronous or
				asynchronous audio, video, electronic media, or other telecommunications
				technology, including, but not limited to:
(1) interactive audio-video
			 technology;
(2) remote patient
			 monitoring devices;
(3) audio-only
			 telephone; and
(4) online adaptive
			 interviews, for the purpose of evaluating, diagnosing, consulting, prescribing,
			 treating or monitoring of a patient's physical health, oral health, mental
			 health or substance use disorder condition.