Code of Massachusetts Regulations › 101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES › Title 101 CMR 426.00 - Rates for Certain Adult Community Mental Health Services › Section 426.02 - Definitions

Current through Register 1525, July 5, 2024
As used in
				101 CMR
				426.00, unless the context requires otherwise, terms
				have the meanings in
				101
				CMR 426.02.
Client
. An individual who receives
				certain adult community mental health services purchased by a governmental
				unit.
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.
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.
Group Living Environment (GLE)
. This
				temporary setting provides a clinically oriented environment and structure in
				which staff is present on a planned staffing schedule. The setting provides
				increased treatment and engagement interventions to enable the client to
				develop the skills necessary to live in a more independent setting. Clients
				residing in GLEs can also receive supervision and support from an Integrated
				Team. Certain GLE staff members are part of the Integrated Team and perform the
				duties and responsibilities of the direct care staff members of the Team for
				clients residing in the GLEs.
Integrated Team
. A multi-disciplinary
				team of clinical, direct care, and peer staff providing clinical interventions,
				housing services, and peer and family support to facilitate engagement, support
				functioning and community living skill development, and maximize
				self-management consistent with the treatment plan.
Intensive Group Living Environment
				Services
. This group living setting provides clients with the
				service components and specific clinical interventions particular to a defined
				service model for which they are referred. The Intensive Group Living
				Environment Service locations will be designated by the purchasing governmental
				unit. The following are the intensive GLE services.
(a)
Medically Intensive Group
			 Living Environment
. Provides daily medical management that may be
			 complicated by symptoms and/or behaviors related to the client's mental health.
			 In addition to medical management and other rehabilitative services, clients
			 receive support and supervision services as their needs indicate.
(b)
Intensive Behavioral Group
			 Living Environment
. Provides increased therapeutic interventions
			 and supervision that focus on identifying triggers and precipitant behaviors,
			 coping skills, improving communication skills, addressing issues around
			 substance use, and identifying and resolving barriers to more independent
			 community living and employment. Other rehabilitative, support, and supervision
			 services are provided to clients as their needs indicate.
(c)
Intensive Behavioral
			 Assessment Group Living Environment
. Provides an intensive level
			 of supervision, including one-to-one (line of sight) coaching on a consistent
			 basis throughout the day. Coaching interventions focus on identifying and
			 practicing pro-social communication and community engagement. Rehabilitation
			 and other support services are provided to clients, as their needs
			 indicate.
(d)
Intensive
			 Fire Safety Group Living Environment
. Provides enhanced
			 supervision and monitoring for fire setting behavior, therapeutic interventions
			 to address individually identified risk behaviors assessed in the Fire Setting
			 Behavior Evaluation, and a special physical setting to minimize the risk of
			 fire. Rehabilitative, support, and supervision services are provided to clients
			 as their needs indicate.
(e)
Clinically Intensive Group Living Environment
.
			 Delivers rapid response to a client's emerging clinical needs including, but
			 not limited to, symptom management, de-escalation strategies, or one to one
			 assistance. Clients enrolled in this program require either an experience of a
			 length of stay in a Department of Mental Health (DMH) Continuing Care Hospital
			 for two years or more or prior histories of multiple failed efforts in standard
			 DMH community services. The program is designed to develop, implement, and
			 monitor person centered clinically intensive care. Other rehabilitative,
			 support, and supervision services are provided to clients as their needs
			 indicate.
(f)
Intensive
			 Dialectical Behavioral Therapy Group Living Environment
. Delivers
			 therapeutic interventions to increase awareness of emotional triggers, manage
			 personal safety, coaching emotional regulation skills and improving skills for
			 social interactions. Intensive Dialectical Behavioral Therapy supports clients
			 to meet the community integration goals, including employment, education, and
			 independent housing. Other rehabilitative, support, and supervision services
			 are provided to clients as their needs indicate.
(g)
Enhanced Medical Group Living
			 Environment
. Provides a variety of skilled health care and
			 supportive services, including nursing and hands-on personal care to clients
			 with serious mental illness in addition to compounding medical needs. These
			 services are designed to meet and support the daily needs of clients with
			 chronic medical conditions, terminal illnesses, and/or disabilities that are
			 impacted by their significant mental illness
Lease Management
. A lease management
				function responsible for managing client leasing requirements for those clients
				enrolled in Adult Community Clinical Services (ACCS) who are benefitting from
				sponsor-based rental assistance. Covered lease management activities include
				those leasing arrangements where the ACCS provider is directly involved in the
				category of sponsor-based leasing.
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).
Supported Independent Environments
				(SIE)
. This setting provides clinical outreach and treatment in an
				environment with individual or shared units and staff present on a planned
				schedule within the setting, generally within an office or separate unit.
				Clients residing in SIEs can also receive supervision and support from an
				Integrated Team. Certain SIE staff members are part of the Integrated Team and
				perform the duties and responsibilities of the direct care staff members of the
				team for clients residing in the SIEs.