Code of Massachusetts Regulations › 130 CMR - DIVISION OF MEDICAL ASSISTANCE › Title 130 CMR 419.000 - Day Habilitation Center Services › Section 419.402 - Definitions

Current through Register 1525, July 5, 2024
The following terms used in 130 CMR 419.000 have the meanings
				given in
				130
				CMR 419.402, unless the context clearly
				requires a different meaning.
Activities of Daily Living (ADLs)
-
				fundamental personal care tasks performed daily as part of an individual's
				routine self-care. ADLs include, but are not limited to, eating, toileting,
				dressing, bathing, transferring, and mobility or ambulation.
Clinical Assessment
- the screening
				process of cataloging a member's need for DH using a tool designated by the
				MassHealth agency and that forms the basis for prior authorization.
Day Habilitation (DH)
- a service, for
				individuals with an intellectual disability (ID) or a developmental disability
				(DD), that is based on a day habilitation service plan that sets forth
				measurable goals and objectives, and prescribes an integrated program of
				activities and therapies necessary to reach the stated goals and
				objectives.
Day Habilitation Provider (DH
				Provider)
- the entity with responsibility for the day-to-day
				operation of services and programs subject to 130 CMR 419.000.
Day Habilitation Leveling Tool
- a
				clinical assessment tool that is completed based on the results of the Service
				Needs Assessment. The DH Leveling Tool indicates whether the member is in the
				Low-Need, Moderate-Need, or High-Need category.
Day Habilitation Service Manager
				(DHSM)
- individual who manages cases, ensuring that members'
				service plans are implemented, reviewed, updated as appropriate, and
				maintained.
Day Habilitation Service Plan (DHSP)
-
				a written plan of care for each member that sets forth realistic and measurable
				member-driven goals that prescribe an integrated program of individually
				designed activities and/or therapies necessary to achieve these goals. The
				objective of the plan is to help the member reach his or her optimal level of
				physical, cognitive, psychosocial, occupational capabilities, and
				wellness.
Department of Developmental Services
				(DDS)
- an agency of the Commonwealth of Massachusetts established
				under M.G.L. c. 19B.
Department of Public Health (DPH)
- an
				agency of the Commonwealth of Massachusetts, established under M.G.L. c. 17,
				§ 1.
Developmental Disability
- a severe,
				chronic disability that
(1) is
			 attributable to other conditions found to be closely related to ID, apart from
			 mental illness, which results in the impairment of general intellectual
			 functioning or adaptive behavior similar to that of persons with ID, and which
			 requires treatment or services similar to those required for such
			 persons;
(2) is manifested before a
			 person reaches 22 years of age;
(3)
			 is likely to continue indefinitely; and
(4) results in substantial functional
			 limitations in three or more of the following major areas:
(a) self-care;
(b) understanding and use of
			 language;
(c) learning;
(d) mobility;
(e) self-direction; or
(f) capacity for independent
			 living.