Code of Massachusetts Regulations › 104 CMR - DEPARTMENT OF MENTAL HEALTH › Title 104 CMR 29.00 - Application for DMH services, referral, service planning and appeals › Section 29.02 - Definitions

Current through Register 1525, July 5, 2024
Adult
. For purposes of
				104 CMR
				29.00, an individual who is 22 years of age or
				older.
Area Director
. The individual
				responsible for the administration and operation of Department activities in
				the DMH Area where the individual or, in the case of a minor, where his or her
				legally authorized representative resides.
Area Medical Director
. The senior
				psychiatrist with clinical oversight of Department activities in the DMH Area
				where the individual or, in the case of a minor, where the minor's legally
				authorized representative resides; the role of Area Medical Director may be
				delegated to a child psychiatrist with clinical oversight of services provided
				to youth in the Area.
Case Management, Including Critical Need Case
				Management and Transition Case Management
. A service operated by
				the Department, which is performed in accordance with the provisions of
				104 CMR
				29.00. The scope of Case Management is set forth at
				104
				CMR 29.05.
Client
. An individual for whom DMH
				services have been authorized and who is enrolled in a DMH service.
DMH
. Department of Mental
				Health.
DMH Community Services
. Community
				based services contracted for or operated by the Department, but which do not
				include: Case Management, or short term services provided pursuant to
				104
				CMR 29.04(1)(h), outpatient
				clinic services, forensic or court ordered evaluations, or acute mental health
				services, such as crisis intervention or emergency screening. DMH Community
				Services do not include services provided in facilities licensed pursuant to
				104 CMR
				27.00:
Licensing and Operational Standards for
				Mental Health Facilities
.
DMH Services
. DMH Community Services
				and/or Case Management.
Preadmission Screening and Resident Review
				(PASRR)
. For purposes of
				104 CMR
				29.00, an assessment required by federal regulations,
				42 CFR
				483.100
et seq
., which is
				performed prior to admission to a nursing facility and periodically during the
				time one has already been admitted to a nursing facility, to identify in
				accordance with applicable federal law whether an individual has a serious
				mental illness for the purposes of PASRR specialized services or other services
				to address the individual's needs related to their serious mental illness. The
				initial identification function is termed a Level I Screen. A Level II is the
				evaluation conducted for purposes of confirming the identification of a serious
				mental illness and evaluating and determining whether nursing facility services
				and specialized services are needed or whether the individual is better served
				in the community.
Short Term Admission
. For purposes of
				104 CMR
				29.00 a short-term admission applies to:
(a) an individual who is admitted to a
			 nursing facility under a time limited PASRR categorical determination as
			 specified in the Massachusetts Medicaid State Plan for individuals with certain
			 diagnoses, levels of severity of illness, or need for a particular service;
			 or
(b) an individual admitted to a
			 nursing facility for up to 30 days for treatment of a medical condition under a
			 PASRR exempted hospital discharge as provided in
			 43 CFR
			 483.106(2)(b).
Specialized Services
. For purposes of
				104 CMR
				29.00, Specialized Services, as provided in the
				Massachusetts Medicaid State Plan, are services which exceed the services
				ordinarily provided by nursing facilities and which address specific service
				needs related to a person's serious mental illness in accordance with
				42 CFR
				483.120(a)(1).
Youth
. An individual younger than 22
				years old.