Code of Massachusetts Regulations › 130 CMR - DIVISION OF MEDICAL ASSISTANCE › Title 130 CMR 448.000 - Community Behavioral Health Center Services › Section 448.402 - Definitions

Current through Register 1525, July 5, 2024
The following terms used in
				130 CMR
				448.000 have the meanings given in
				130
				CMR 448.402 unless the context clearly
				requires a different meaning.
Adult Community Behavioral Health Center (CBHC)
				Services
- CBHC services provided to clients 21 years of age or
				older as referenced in
				130
				CMR 448.412(A)(1) through
				(5).
Adult Community Crisis Stabilization (Adult
				CCS)
- adult CCS is a community-based program that serves as a
				medically necessary, less-restrictive alternative to inpatient psychiatric
				hospitalization when clinically appropriate and provides short-term
				staff-secure, safe, and structured crisis stabilization and treatment services
				for individuals 18 years of age or older with mental health and substance use
				disorders. Stabilization and treatment also includes the capacity to provide
				induction onto and bridging for medication for the treatment of opioid use
				disorders (MOUD) and withdrawal management for opioid use disorders (OUD) as
				clinically indicated.
Adult Mobile Crisis Intervention
				(AMCI)
- a community-based behavioral health service available
				24/7/365 and providing short-term mobile, on-site, face-to-face crisis
				assessment, intervention, and stabilization to individuals 21 years of age or
				older experiencing a behavioral health crisis. Services may be provided in
				community-based settings outside the CBHC, at the CBHC, or in emergency
				department sites of services to support stabilization for transition into the
				community, when necessary. Services may also be provided via telehealth. The
				purpose is to identify, assess, treat, and stabilize the situation and reduce
				the immediate risk of danger to the individual or others consistent with the
				individual's risk management/safety plan, if any
Adverse Incident
- an occurrence that
				represents actual or potential serious harm to the wellbeing of a member, or to
				others under the care of the community behavioral health center. Adverse
				incidents may be the result of the actions of a member served, actions of a
				staff member providing services, or incidents that compromise the health and
				safety of the member receiving treatment at the center, or the operations of
				the center.
Behavioral Health Disorder
- any
				disorder pertaining to mental health or substance use as defined by the current
				edition of the
Diagnostic and Statistical Manual of Mental
				Disorder
.
Case Consultation
- intervention,
				including scheduled audio-only telephonic, audio-video, or in person meetings,
				for behavioral and medical management purposes on a member's behalf with
				agencies, employers, or institutions which may include the preparation of
				reports of the member's psychiatric status, history, treatment, or progress
				(other than for legal purposes) for other physicians, agencies, or insurance
				carriers.
Certified Peer Specialist (CPS)
- a
				person who has been trained by an agency approved by the Department of Mental
				Health (DMH) who is a self-identified person with lived experience of a mental
				health disorder and wellness who can effectively share their experiences and
				serve as a mentor, advocate, or facilitator for a member experiencing a mental
				health disorder.
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.
Communication Protocol -
formal
				descriptions of polices, processes, and procedures that allow two or more
				providers to exchange information.
Community Behavioral Health Center (CBHC or
				Center)
- an entity that serves as a hub of coordinated and
				integrated behavioral health disorder treatment for individuals of all ages,
				including routine and urgent behavioral health outpatient services, mobile
				crisis services for adults and youth, and community crisis stabilization
				services for adults and youth.
Couple Therapy
- psychotherapeutic
				services provided to a couple whose primary complaint is the disruption of
				their marriage, family, or relationship.
Crisis Intervention
- an urgent
				evaluation including assessment of risk, diagnosis, short-term intervention and
				rendering of a disposition for a member's presenting crisis, which may include
				referral to an existing or new behavioral health provider.
Diagnostic Evaluation Services
- the
				examination and determination of a member's physical, psychological, social,
				economic, educational, and vocational assets and disabilities for the purpose
				of designing a treatment plan.
Direct and Continuous Supervision
-
				ongoing supervision provided to unlicensed staff and not independently licensed
				staff at a frequency of no less than one hour of supervision per week for
				full-time employees. Supervision time may be pro-rated based on scheduled hours
				for employees employed less than full-time. Direct and continuous supervision
				must be delivered by an independently licensed staff member or certified peer
				supervisor who is employed by the agency.
Enhanced Structured Outpatient Addiction Program
				(E-SOAP)
:
American Society of Addiction Medicine
				(ASAM) Level Intensive Outpatient Services
- a program that
				provides short-term, clinically intensive, structured day and/or evening
				substance use disorder (SUD) services. E-SOAP specifically serves specialty
				populations including: homeless individuals and people at risk of homelessness,
				pregnant individuals, and adolescents. E-SOAP services must meet requirements
				as set forth in
				130 CMR
				418.000:
Substance Use Disorder Treatment
				Services
.
Family Consultation
- a scheduled
				meeting with one or more of the parents, legal guardian, or foster parents of a
				child who is being treated by clinical staff at the center, when the parents,
				legal guardian, or foster parents are not clients of the center.
Family Therapy
- the psychotherapeutic
				treatment of more than one member of a family simultaneously in the same
				visit.
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 Therapy
- psychotherapeutic
				services provided to an individual.
Intensive Outpatient Program (IOP)
- a
				mental health treatment service that provides timelimited, multi-disciplinary,
				multimodal structured treatment in an outpatient setting for individuals
				requiring a clinical intensity that exceeds outpatient treatment. Services
				include individual, group, and family therapy as well as case management
				services.
Massachusetts Prescription Awareness Tool
				(MassPAT)
- a tool used when prescribing opioids to check a
				patient's prescription history, required by law in M.G.L. c. 94C, § 24A.
				Results must be referenced and documented prior to prescribing a Schedule II or
				III narcotic drug or a benzodiazepine to support safe prescribing and
				dispensing of medications. MassPAT is a part of the prescription monitoring
				program through the Department of Public Health.
Medication Visit
- a member visit
				specifically for prescription, review, and monitoring of psychotropic
				medication by a psychiatrist, psychiatric clinical nurse specialist, Advanced
				Practice Registered Nurse (APRN), or Physician Assistant, or administration of
				prescribed intramuscular medication by a physician, nurse, or Physician
				Assistant.
Mental Health Disorder
- any disorder
				pertaining to mental health as defined by the current edition of the
Diagnostic and Statistical Manual of Mental Disorders
.
Multiple-family Group Therapy
- the
				treatment of more than one family unit, at the same time in the same visit, by
				one or more authorized staff members. There is more than one family member
				present per family unit and at least one of the family members per family unit
				must be an identified patient of the center.
Outreach -
mental health and/or
				substance use disorder treatment services being delivered by a clinical or
				paraprofessional staff member of the center off the premises of the community
				behavioral health center, including but not limited to services in members'
				homes or other community environments.
Peer Recovery Coach
- an individual
				currently in recovery who has lived experience with substance use and other
				addictive disorders and/or co-occurring mental health disorders and has been
				trained to help their peers with a similar experience to gain hope, explore
				recovery, and achieve life goals. Peer recovery coaches must meet requirements
				as set forth in
				130 CMR
				418.000:
Substance Use Disorder Treatment
				Services
.
Pharmacotherapy
- providing
				therapeutic treatment with pharmaceutical drugs.
Physician
- an individual licensed by
				the Massachusetts Board of Registration in Medicine in accordance with M.G.L.
				c. 112, § 2.
Psychological Testing
- the use of
				standardized test instruments to evaluate aspects of an individual's
				functioning, including aptitudes, educational achievements, cognitive
				processes, emotional conflicts, and type and degree of psychopathology, subject
				to the limitations of
				130 CMR
				411.000:
Psychologist
				Services
.
Quality Management Program
- a
				systematic and ongoing process for monitoring, evaluating, and improving the
				quality and appropriateness of services provided to members, with focused
				attention on addressing cultural, ethnic, and language needs.
Recovery Support Navigator
- a
				paraprofessional specialist who receives specialized training in the essentials
				of substance use disorder and evidence-based techniques such as motivational
				interviewing, and who supports members in accessing and navigating the
				substance use disorder treatment system through activities that can include
				care coordination, case management, and motivational support. Recovery Service
				Navigators must meet requirements as set forth in
				130 CMR
				418.000:
Substance Use Disorder Treatment
				Services
.
Release of Information (ROI)
- a
				document that allows a patient to authorize and revoke what information they
				want to release from their patient record, who it can be released to, how long
				it can be released for, and under what statutes and guidelines it is
				released.
Structured Outpatient Addiction Program (SOAP):
				ASAM Level Intensive Outpatient Services
- a substance use
				disorder treatment service that provides short-term, multi-disciplinary,
				clinically intensive structured treatment to address the sub-acute needs of
				members with substance use disorders and/or co-occurring disorders. These
				services may be used as a transition service in the continuum of care toward
				lower intensity outpatient services or accessed directly. SOAP services must
				meet requirements as set forth in
				130 CMR
				418.000:
Substance Use Disorder Treatment
				Services
.
Substance Use Disorder
- any disorder
				pertaining to substance use as defined by the
Diagnostic and
				Statistical Manual of Mental Disorders
.
Supervised Clinical Experience
- a
				clinician's experience providing diagnostic and treatment services to
				individuals, families, and groups of individuals under the direct and
				continuous supervision of a qualified independently licensed professional as
				set forth in
				130
				CMR 448.423, who is employed by the same
				agency as the supervisee.
Telehealth
- the use of synchronous or
				asynchronous audio, video, electronic media or other telecommunications
				technology, including, but not limited to
(1) interactive audio-video
			 technology;
(2) remote patient
			 monitoring devices;
(3) audio-only
			 telephone; and
(4) 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.
Urgent Behavioral Health Needs
- needs
				characterized by changes in behavior or thinking, role dysfunction, emerging
				intent of self-injury, or threats to others. Urgent behavioral health needs do
				not rise to the level of immediate risk of harm to self or others.
Youth CBHC Services
- services
				provided to children and youth younger than 21 years old as referenced in
				130
				CMR 448.412(A)(1) through
				(5).
Youth Community Crisis Stabilization
				(YCCS)
- staff-secure, safe, and structured crisis stabilization
				and treatment services in a community-based program that provides active
				treatment that includes restoration of functioning; strengthening the resources
				and capacities of the youth, family, and other natural supports; and ensuring a
				timely return to previous living environment to individuals up to and including
				18 years of age.
Youth Mobile Crisis Intervention
				(YMCI)
- a community-based behavioral health service available
				24/7/365 providing short-term mobile, on-site, face-to-face crisis assessment,
				intervention, and stabilization to individuals younger than 21 years of age
				experiencing a behavioral health crisis. Transition-aged youth older than 17
				years of age and younger than 21 years old may be served by adult-trained
				clinicians with a certified peer specialist instead of a family partner based
				on an individual's clinical needs. Services may be provided in community-based
				settings outside the CBHC, at the CBHC, or in emergency department sites of
				services to support stabilization for transition into the community. Services
				may be provided
via
telehealth. The purpose is to identify,
				assess, treat, and stabilize the situation and reduce the immediate risk of
				danger to the youth or others consistent with the youth's risk
				management/safety plan, if any.