Code of Massachusetts Regulations › 101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES › Title 101 CMR 421.00 - Rates For Adult Housing And Community Support Services › Section 421.02 - Definitions

Current through Register 1525, July 5, 2024
As used in
				101 CMR
				421.00, unless the context requires otherwise, terms
				have the meanings in
				101
				CMR 421.02.
Assertive Treatment and Relapse
				Prevention
. A supportive housing program for persons at risk of
				homelessness, who have a dual diagnosis of mental illness and substance-related
				addictive disorders. The model is an intensive clinical outreach service
				designed to provide individualized support in community housing placements. The
				intensive clinical outreach services promote housing retention, assistance in
				accessing treatment, and other resources so that the individuals served can
				achieve recovery.
Client
. An individual who receives
				adult housing and community support services purchased by a governmental
				unit.
Cost Report
. The documentation used to
				report costs and other financial and statistical data. The Uniform Financial
				Statements and Independent Auditor's Report (UFR) is used when required.
Dual Diagnosis Shelter
. This service
				model is a specialized shelter for homeless individuals who have a dual
				diagnosis of mental illness and substance-related addictive disorders. The
				specialized shelter provides emergency beds and clinical support. Staffing is
				provided 24 hours per day and seven days per week. On-site shelter support
				includes assessment of needs, service coordination, crisis intervention,
				assistance with activities of daily living, assistance with medication, and
				nutritional education.
Enrolled Month
. In general, an
				enrolled month is the unit of service used to bill the governmental unit,
				applicable in homeless support services where there are specialized residential
				supports in a system of closed referrals. An enrolled month is a calendar month
				where an enrolled client is authorized by the governmental unit to receive
				services, including lease management or lease management with other supportive
				services as determined by the governmental unit.
EOHHS
. The Executive Office of Health
				and Human Services established under M.G.L. c. 6A.
Governmental Unit
. The Commonwealth,
				any board, commission, department, division, or agency of the Commonwealth and
				any political subdivision of the Commonwealth.
Housing Options Program
. Low-intensity
				services for homeless individuals with disabilities who qualify for specialized
				housing subsidies with supportive services. Level I services include assistance
				in maintaining housing subsidies provided by the federal Department of Housing
				and Urban Development. Level 2 services include supportive help with life
				tasks, such as ensuring adequate food, paying bills, mediation with landlords,
				and/or help with social interactions with the goal of housing retention.
Outreach and Engagement Services
.
				These services, provided by an outreach team, focus on making contact in the
				community with individuals who are experiencing homelessness in an effort to
				engage them and facilitate referrals for essential treatment, including
				behavioral health and primary care, employment services, housing, and
				assistance in applying for benefits for which they may be eligible. Services
				include engagement, assessments, crisis intervention, and information and
				referral.
Program Staffing Supports
. This
				service provides direct care staffing assistance to help ensure successful
				outcomes for individuals experiencing homelessness. The service is typically
				provided as a part of a larger project of which the governmental unit
				purchasing the service is a funding partner. Direct care staff may range from
				nonspecialized to licensed independent clinical social workers (LICSW).
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 adopted 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).
Safe Haven
. This service model is an
				alternative to shelter for individuals whose symptoms of mental illness make it
				difficult to utilize shelters and who may have otherwise been sleeping
				outdoors. Safe Haven programs are residential in design, transitional in
				nature, and are targeted for individuals with serious and persistent mental
				illness. Services beyond housing include help with benefits, other housing
				applications, social support, and crisis intervention, with staffing provided
				24 hours per day, seven days per week with the goal of stabilization and
				assistance in transitioning into long-term housing.