Code of Massachusetts Regulations › 101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES › Title 101 CMR 414.00 - Rates For Family Stabilization Services › Section 414.02 - Definitions

Current through Register 1525, July 5, 2024
As used in 101 CMR 414.00, unless the context requires
				otherwise, terms have the meanings in
				101
				CMR 414.02.
Adolescent Support Network
. This
				service provides young adults with a diverse range of supportive services
				offered within community advocacy centers. Services are provided by staff
				trained specifically in the issues of this population, six days per week, and
				with 24-hour emergency coverage. The service utilizes flexible supports within
				the community to better assist youth through life transitions in order to meet
				each person's needs and develop their capacity to make empowering choices that
				promote safety, well-being, and productivity.
Adult Companion and Adult Companion Group
				Services
. Nonmedical care, supervision, and socialization services
				provided by a companion to a single participant or a small group of two or
				three participants. Companions may assist or supervise the participant with
				such light household tasks as meal preparation, laundry, and shopping.
After-school Respite
. These services
				provide after-school supervision and activities for children and adolescents
				with developmental or behavioral challenges.
Agency Rate
. The fee for services
				performed by a person whose wage is paid by a corporation or partnership that
				is a MassHealth provider or provider of human services purchased by any
				governmental unit of the Commonwealth.
Agency with Choice
. The Agency with
				Choice program supports individual/family self-determination in managing the
				receipt of certain services. This program allows individuals/ families to have
				an increased level of self-determination when they share responsibility for the
				hiring and management of employees/workers who provide services to them. The
				Agency with Choice provider is the common law employer of record and the
				individual/family is the managing employer. Fees for these services are not to
				exceed the equivalent published rate.
Autism Support Center Services
. The
				array of information and referral services, resources, and support services to
				children and young adults with autism spectrum disorders and their families,
				including information and referral, family clinics, support groups, access to
				the latest information on autism, family trainings, parent networking and
				mentoring, and social/recreational events, among other activities.
Behavioral Support Services
. Services
				designed to remediate identified challenging behaviors or to help individuals
				acquire socially appropriate behaviors that are necessary to improve the
				individual's independence and integration into their community. Behavioral
				support services and consultation are provided by psychology, mental health,
				and special education professionals.
Center Size
. The number of direct-care
				full-time equivalent employees (FTEs) required to staff a family support center
				or autism support center as determined by the Department of Developmental
				Services (DDS).
Child Requiring Assistance (CRA)
. A
				child who is having serious problems at home and at school, including runaways,
				truants, and sexually exploited children, as designated by St. 2012, c.
				240.
Chore
. An unusual or infrequent
				household maintenance task that is needed to maintain the participant's home in
				a clean, sanitary, and safe environment. This service includes heavy household
				chores such as washing floors, windows, and walls; tacking down loose rugs and
				tiles; and moving heavy items of furniture in order to provide safe access and
				egress.
Client Financial Assistance/Flexible
				Funding
. A method whereby, subject to availability, a purchasing
				governmental unit may provide individual resource allocations to both families
				of children and adults across the state. Flexible funding may be provided
				through a number of means, including a stipend issued directly to the family;
				reimbursement to the family for specific expenses and support services; or
				funds directed by the family to a qualified provider for specific
				services.
Client Financial Assistance/Flexible Funding
				Administration
. A service in which the provider performs the
				function necessary to successfully administer flexible funding expenditures to
				families for permissible support services, services, or goods.
Combined Hourly Services
. These
				services, individual or group in nature, are based upon an hour's service time
				of direct-care staff. While most services are nonclinical, some may be
				clinical.
Community-based After-school Social and Recreation
				Program Services
. After-school programs for blind children with
				the following elements: community-based recreation, social-skill development,
				peer support, and community integration.
Comprehensive Services
. These
				family-oriented services reflect a range of either nonclinical or clinical, or
				blended models of the two, established on a per-full-day-of-service basis.
				Within model types, the client-to-staff ratio, or intensity of service,
				differentiates one from another.
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.
Educational Coordination
. This is an
				educational support service providing pre- and postadoption support for foster,
				adoptive, or guardianship families, and is based upon an enrolled day of
				service.
EOHHS
. The Executive Office of Health
				and Human Services established under M.G.L. c. 6A.
Family Navigation Services
. Referral
				support services and expert advice designed to assist families to identify
				needs and to facilitate and gain access to local generic support services
				through coordination between family and other service providers. The family
				navigator acts as a guide and resource development expert to ensure that
				families have knowledge and access to a broad array of generic community
				resources, to provide assistance in navigating the system, and to recognize and
				promote the value of natural support services.
Family Navigation Administrative
				Services
. A Massachusetts Commission for the Blind (MCB) specific
				service in which the provider performs all necessary accounting functions to
				successfully administer expenditures to families for permissible support
				services.
Family Resource Center (FRC)
.
				Community-based, culturally competent programs that provide evidence-based
				parent education groups, information and referral, mentoring, and other
				opportunities for children and families in need. FRCs also provide CRA-specific
				services such as intake, screening, and assessments.
Family Skills Development Program
				Model
. A ten-to-13-week curriculum-based program that engages
				multiple (ten to 12) families with children from newborn to adolescence, to
				participate in ten to 13, 2½ hour sessions led by a trained team of four
				facilitators and other volunteers. The goal is to develop strategies to
				increase communication skills, develop family rules, use positive discipline,
				address conflict, share feelings, and enjoy family fun. The program includes a
				full meal for all participants, and may include transportation for participants
				and child care for infants and other children.
Family Stabilization Services
.
				Services that provide support to individuals and families to promote family
				stability and to prevent unnecessary out-of-home placements. Family
				stabilization services include adult companion group services, after-school
				respite, autism support center services, behavioral support services, case
				consultation services, chore services, client financial assistance/flexible
				funding, client financial assistance/flexible funding administration, combined
				hourly services, community-based after-school social and recreation program
				services, comprehensive services, educational coordination, family navigation
				services, family support centers, family systems intervention, family training,
				family training groups, homemaker services, individual support and community
				habilitation services, individual youth support services, intensive flexible
				family support services (IFFS), medically complex programs, occupational
				therapy, peer support services, physical therapy, planned facility-based
				respite for children, respite in the caregiver's home, respite in the client's
				home, site-based respite, specialized medical equipment, speech therapy,
				unbundled intensive foster care special support services, and youth support
				groups.
Family Support Centers
. Programs that
				establish a local presence and act as a hub for offering a wide range of
				general family support services and activities to families of children and
				adults who are eligible for DDS services. Centers provide information,
				referral, and service navigation to DDS eligible families, connecting these
				families to services they may need, and host community activities such as guest
				speakers and trainings. Centers also play a role in the administration of
				client funds. Cultural/linguistic-specific family support centers have been
				created to respond to the unique needs of specific cultural and linguistic
				family groups in specified areas or regions of the state.
Family Training
. Training and
				instruction for family members concerning the treatment regimes, behavior
				plans, and the use of specialized equipment that supports the individual waiver
				participant to participate in the community. Community family training may also
				include training in family leadership, support of self-advocacy, and
				independence for the family member.
Family Training Groups
. These groups
				are designed to improve parenting skills. Of the three model types, two are
				multi-family in nature, and the third is designed for the parents alone. These
				groups run usually on a once-per-week basis, and generally range from ten to 16
				weeks in duration. The most robust family model may include as many as 60
				attendees, while parent groups typically include up to 20.
Flexible Support Services (FSS)
. An
				individualized and targeted set of interventions and services provided to
				children/youth/young adults with serious emotional disturbance (SED). Flexible
				support services strengthen the well-being of children/youth/young adults and
				their families; builds family cohesion; and prevents the need for more
				intensive services. Through this service, children/youth/young adults and their
				families develop the skills, strategies, and supports needed to live
				successfully in the community and to support the youth's ongoing development of
				age-appropriate social, emotional, academic, and pre-vocational competencies.
				FSS is designed to be highly flexible to meet the varying needs of those
				served. The FSS service array includes parent peer support, peer mentoring,
				therapeutic support, and clinical services delivered through one of three
				modalities: an interdisciplinary team, a group, or as an individual
				service.
Governmental Unit
. The Commonwealth,
				any board, commission, department, division, or agency of the Commonwealth, and
				any political subdivision of the Commonwealth.
Homemaker
. A person who performs light
				housekeeping duties (for example, cooking, cleaning, laundry, and shopping) for
				the purpose of maintaining a household.
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.
Intensive Flexible Family Support Services
				(IFFS)
. Services that support families with one or more members
				with a disability who are experiencing significant challenges that put the
				child/individual at risk of out-of-home placement. This is a time-limited (six
				to 12 months) and goal-oriented service that provides more focused and
				intensive supports in response to identified areas of need and difficulty and
				that builds and strengthens the family's capacity to support their child at
				home.
Medically Complex Programs
.
				Family-driven models of care that support families with children and young
				adults who have significant cognitive, physical, and complex health care needs
				and who are living at home. The goal is to provide comprehensive wrap-around
				support services, which consist of specialized case management activities that
				help families integrate the variety of resources and support services they are
				receiving in order to care for their family member at home.
Micro Family Resource Center
. A
				reduced FRC staffing model, which may be affiliated with an FRC.
Micro Family Resource Center Add-on
.
				Additional staff time allocated to an FRC or Micro FRC to increase its CRA
				staff capacity.
Occupational Therapy
. Therapy
				services, including diagnostic evaluation and therapeutic intervention,
				designed to improve, develop, correct, rehabilitate, or prevent the worsening
				of functions that affect the activities of daily living that have been lost,
				impaired, or reduced as a result of acute or chronic medical conditions,
				congenital anomalies, or injuries. Occupational therapy programs are designed
				to improve quality of life by recovering competence and preventing further
				injury or disability, and to improve the individual's ability to perform tasks
				required for independent functioning, so that the individual can engage in
				activities of daily living.
Parent Skill Development Program
				Model
. A 12-to-14-week program based on curricula that promote
				positive parenting and skill building for parents and other care givers. Child
				care may be provided, but there are no children's groups. The program focuses
				on the specific needs of parents in their role in the family. The program
				includes a full meal for all participants, and may include transportation for
				participants and child care for infants and other children.
Peer Support Services
. Services that
				are designed to provide training, instruction, and mentoring to individuals
				about self-advocacy, participant direction, civic participation, leadership,
				benefits, and participation in the community. These services may be provided
				either by an individual with an intellectual disability or an advisor or
				support person to a self-advocacy group.
Physical Therapy
. Therapy services,
				including diagnostic evaluation and therapeutic intervention, designed to
				improve, develop, correct, rehabilitate, or prevent the worsening of physical
				functions that have been lost, impaired, or reduced as a result of acute or
				chronic medical conditions, congenital anomalies, or injuries. Physical therapy
				emphasizes a form of rehabilitation focused on treatment of dysfunctions
				involving neuromuscular, musculoskeletal, cardiovascular/pulmonary, or
				integumentary systems through the use of therapeutic interventions to optimize
				functioning levels.
Planned Facility-based Respite for
				Children
. Services that provide out-of-home supervision and care
				in a licensed respite home to provide relief for the parents/primary
				caregivers.
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).
Respite in the Caregiver's Home
.
				Supervision and care provided in the caregiver's home on a short-term basis,
				including on a short-term overnight basis, where there is an absence or need
				for relief of those persons who normally provide care for the participant.
				Since this service is provided in the caregiver's home, applicable license or
				certification is necessary.
Respite in the Recipient's Home
.
				Supervision and care provided in the home of the client, by qualified staff
				that possess a high school diploma, GED, or equivalencies or relevant
				competencies, on a short-term basis, including on a short-term overnight basis,
				where there is an absence or need for relief of those persons who normally
				provide care for the participant.
Self-employed Provider Rate
. The fee
				for services performed by a person that is a provider and is not paid a wage by
				another person or entity for services performed.
Session
. A single group
				meeting.
Site-based Respite
. Services provided
				by a licensed respite home designed to provide out-of-home supervision and care
				to provide relief for the parents/primary caregivers.
Specialized Medical Equipment and
				Supplies
. Devices, controls, or appliances to increase abilities
				in activities of daily living, or to control or communicate with the
				environment.
Specialty Family Skills Development Program
				Model
. A 14-to-16-week curriculum-based program that engages
				multiple (ten to 12) families with children from newborn to adolescence, to
				participate in 14 to 16, 2% hour sessions led by a trained team of eight to 12
				facilitators, professionals, specialty providers, and volunteers. These groups
				are designed to address families with unique and/or multiple challenges, and
				special support needs. The program includes a full meal for all participants,
				and may include transportation for participants and child care for infants and
				other children.
Speech/Language Therapy
. Therapy
				services, including diagnostic evaluation and therapeutic intervention, that
				are designed to improve, develop, correct, rehabilitate, or prevent the
				worsening of speech/language communication and swallowing disorders that have
				resulted in lost, impaired, or reduced speech/language communication and
				swallowing abilities as a result of acute or chronic medical conditions,
				congenital anomalies, or injuries. Speech and language disorders are those that
				affect articulation of speech, sounds, fluency, voice, swallowing (regardless
				of presence of a communication disability), and those that impair
				comprehension, or spoken, written, or other symbol systems used for
				communication.
State Funding
. The aggregate state
				fiscal year amount of payments to a provider by a governmental unit for
				services purchased at rates established in 101 CMR 414.00. State funding does
				not include any amounts attributable to federal funding or grant funds.
Unbundled Intensive Foster Care Special Support
				Services
. This model of intensive foster care represents a
				modification of the model that is the basis for 101 CMR 411.00:
Rates
				for Certain Placement, Support, and Shared Living-Services
. This model
				was requested by the Department of Children and Families (DCF) and eliminates
				the family resource worker because a DCF employee fulfills this role.
Workforce Initiatives
. Funds directed
				to a provider for workforce development.