Code of Massachusetts Regulations › 101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES › Title 101 CMR 329.00 - Rates for Psychological and Independent Clinical Social Work Services › Section 329.02 - General Definitions

Current through Register 1525, July 5, 2024
Terms used in
				101 CMR
				329.00 have the meanings in
				101
				CMR 329.02.
Case Consultation
. Intervention,
				including scheduled audio-only telephonic, audio-video, or in person meetings,
				for behavioral and medical management purposes on an individual's behalf with
				agencies, employers, or institutions, which may include the preparation of
				reports of the individual's psychiatric status, history, treatment, or progress
				(other than for legal purposes) for other physicians, agencies, or insurance
				carriers.
Child and Adolescent Needs and Strengths
				(CANS)
. A tool that provides a standardized way to organize
				information gathered during behavioral-health clinical assessments. A
				Massachusetts version of the tool has been developed and is intended to be used
				as a treatment decision support tool for behavioral-health providers serving
				MassHealth members younger than 21 years old.
Couple Therapy
. Psychotherapeutic
				services provided to a couple whose primary complaint is the disruption of
				their marriage, family, or relationship.
Diagnostic Services Evaluation
. The
				examination by interview techniques and determination of a patient's physical,
				psychological, social, economic, educational, and vocational capabilities and
				disabilities for purposes of developing a diagnostic formulation and designing
				a treatment plan.
Eligible Provider
. Any psychologist,
				licensed independent clinical social worker, or technician for test
				administration who meets the conditions of participation that have been or may
				be adopted by a governmental unit purchasing psychological and licensed
				independent clinical social work services.
EOHHS
. The Executive Office of Health
				and Human Services established under M.G.L. c. 6A.
Family Consultation
. A scheduled
				meeting of at least one-half hour with one or more of the parents, legal
				guardian, or foster parents of a child who is being treated by the provider,
				when the parents, legal guardian, or foster parents are not clients of the
				provider.
Family Therapy
. The psychotherapeutic
				treatment of more than one member of a family simultaneously in the same
				session.
Governmental Unit
. The Commonwealth,
				any department, agency, board or commission of the Commonwealth and any
				political subdivision of the Commonwealth.
Governmental Unit
includes public school departments.
Group Therapy
. The application of
				psychotherapeutic or counseling techniques to a group of persons, most of whom
				are not related by blood, marriage, or legal guardianship.
Individual Consideration (I.C.)
. Those
				rates for psychological and independent clinical social work services for which
				no total allowable fee is specified in
				101 CMR
				329.00 and which are determined by a governmental unit
				based on the nature, extent, and need for such service and the degree of skill
				and time required for its provision. Providers must maintain adequate records
				to determine the appropriateness of their I.C. claims and must provide these
				documents to the purchasing agency upon demand.
Individual Therapy
. Psychotherapeutic
				services provided to an individual.
Intelligence Assessment
. A battery of
				tests to measure intelligence and cognitive ability, listed in the
Mental Measurement Yearbook,
or that conforms to the
Standards for Educational and Psychological Tests
of the
				American Psychological Association, such as a full Wechsler Adult Intelligence
				Scale, Wechsler Intelligence Scale for Children, or Stanford Binet Intelligence
				Scales.
Neuropsychological Assessment
. A
				battery of performance-based assessments provided by an eligible provider that
				assesses cognitive functioning, in order to examine the cognitive consequences
				of brain damage, brain disease, physical, and mental illness, and other
				conditions that may impact cognitive functioning. A neuropsychological
				assessment may include tests of intelligence, attention and concentration,
				learning and memory, processing speed, visual spatial perception, language
				skills, visual motor and fine motor skills, sensory perception, executive
				functioning and emotional functioning.
Personality Assessment
. A battery of
				techniques that yield an evaluation of personality, using at least two
				personality tests that are listed in the
Mental Measurement
				Yearbook,
or that conform to the
Standards for Educational and
				Psychological Tests
of the American Psychological Association, unless
				clinically contraindicated.
Psychotherapy
. The utilization of
				psychological and interpersonal theories and related practice methodologies to
				assess, interpret and modify conscious and unconscious processes of
				behavior.
Psychological Assessment
. The use of
				standardized test instruments and procedures to evaluate aspects of an
				individual's functioning. Psychological assessment includes intelligence,
				neuropsychological and personality assessment. Testing items used for
				psychological assessment must be published, valid, and in general use as
				defined by listing in the
Mental Measurement Yearbook
, or by
				conformity to the
Standards for Educational and Psychological
				Tests
of the American Psychological Association.
Publicly Aided Individual
. A person
				for whose medical and other services a governmental unit is in whole or in part
				liable under a statutory program.
Telehealth
. The use of synchronous or
				asynchronous audio, video, electronic media or other telecommunications
				technology including, but not limited to:
(a) interactive audio-video
			 technology;
(b) remote patient
			 monitoring devices;
(c) audio-only
			 telephone; and
(d) 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.
Treatment Service
. A service related
				to diminishing the distress and symptoms of mental health or substance use
				disorder, as defined by the current edition of the
Diagnostic and
				Statistical Manual of Mental Disorders
including, but not limited to,
				individual, couple, family, and group psychotherapy. The use of evidence-based
				treatment modalities is encouraged.