Code of Massachusetts Regulations › 107 CMR - MASSACHUSETTS REHABILITATION COMMISSION › Title 107 CMR 12.00 - Statewide Head Injury Program › Section 12.02 - Meaning of Terms in 107 CMR 12.00

Current through Register 1525, July 5, 2024
The terms used in
				107
				CMR 12.00 have the meaning ascribed in 107 CMR 12.02
				unless the context otherwise requires.
Appeal
. A process that enables an
				individual to contest a decision by the Commission about eligibility for or
				denial, reduction, suspension or termination of SHIP services; the appeal
				process consists of a first step informal review followed by a fair hearing if
				the issue remains unresolved pursuant to the Informal Rules of the Standard
				Adjudicatory Rules of Practice and Procedure,
				801 CMR
				1.02.
Guardian
. A person appointed by a
				Court of competent jurisdiction to be responsible for the person (ward) who has
				been determined incompetent by the appropriate court.
Letter of Understanding
. A document
				which outlines the scope and duration of SHIP ancillary services provided to
				eligible individuals, which is signed by the SHIP program coordinator and
				individual/guardian.
MRC
. The Massachusetts Rehabilitation
				Commission.
Neuropsychology Consultants
. MRC
				qualified, licensed psychologists, specializing in clinical neuropsychology,
				who meet professional training guidelines established by the American
				Psychological Association (Division 40) and International Neuropsychological
				Society. A neuropsychology consultant designated by the Director of SHIP, is
				responsible for clinical oversight and development of clinical standards and
				mandatory training for all SHIP supported programs; supervision of other
				clinical consultants; and consultation to other state agencies, per the request
				of the Director of SHIP.
Residency in the Commonwealth
. An
				individual must demonstrate that he/she is a resident of Massachusetts with the
				intent to remain domiciled in Massachusetts. SHIP may request proof of
				residency such as an individual's residential address, residence of the
				immediate family, and/or state providing Medicaid coverage.
Program Coordinator
. The SHIP staff
				person who identifies and coordinates the appropriate and available services
				necessary to assist the individual and their family to achieve independence and
				community integration.
SHIP Ancillary Services
. Those
				services which are unique to the eligible applicant, short-terminnature or
				intermittent and which help to maintain or increase an individual's
				independence in their home, work or community environment. Such services may
				include but are not limited to private case management, respite care, home
				modifications, adaptive devices, recreation, community support services, and
				family assistance.
SHIP Contracted Services
. A broad
				range of community-based services and supports for eligible applicants provided
				by private providers under a contract with SHIP. Availability may be limited by
				the capacity of the program defined in the contract.
Significant Impairment
.
				Post-traumatic impairments that are documented in the results of
				neuropsychological testing; neuropsychiatric/neurobehavioral assessments;
				physiatry evaluations; evaluations of rehabilitation clinicians; or
				neurodiagnostic testing. The findings must be specific and directly related to
				the traumatic brain injury, and impairments must compromise the individual's
				mental, behavioral, physical, and/or cognitive capacities.
Traumatic Brain Injury (TBI)
. TBI,
				for the purposes of SHIP eligibility, is defined as brain damage resulting
				from:
(a) a blunt blow to the head,
			 usually resulting in a closed head injury (
e.g
. motor
			 vehicle-related incident);
(b) a
			 penetrating head injury (
e.g
. gunshot or knife wound to the
			 brain);
(c) crush injury resulting
			 in compression to the brain (
e.g
. industrial accident
			 involving the head);
(d) severe
			 whiplash injury causing internal damage to the brain (
e.g
.
			 shaken baby syndrome);
(e) head
			 injury secondary to an explosion (caused by an improvised explosive device,
			 grenade, mortar/artillery or landmine).
For the purposes of SHIP eligibility, brain damage secondary to
				other neurological insults (
e.g
. infection of the brain,
				stroke, anoxia, brain tumor) is not considered to be a traumatic brain injury
				as defined within
				107
				CMR 12.00.