North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-03 - Community Services › Chapter 75-03-20 - Ratesetting for Residential Treatment Centers for Children › Section 75-03-20-01 - Definitions

Current through Supplement No. 393, July, 2024
1. "Accrual basis" means the recording of revenue in the
				  period when it is earned, regardless of when it is collected, and the recording
				  of expenses in the period when incurred, regardless of when they are paid.
2. "Addiction evaluation" means an assessment by an addiction
				  counselor to determine the nature or extent of possible alcohol abuse, drug
				  abuse, or chemical dependency.
3. "Adjustment factors" means indices used to adjust reported
				  costs for inflation or deflation based on economic forecasts for the rate year.
4. "Administration" means the cost of activities performed by
				  the center staff in which the direct recipient of the activity is the
				  organization itself. These include, but are not limited to, fiscal activities,
				  statistical reporting, recruiting, and general office management which are
				  indirectly related to reimbursable services provided.
5. "Allowable cost" means the center's actual and reasonable
				  cost after adjustments required by department rules.
6. "Case management" means services which may assist
				  individuals to gain access to needed medical, social, educational, and other
				  services. Case management includes case-related paper work, contacts with
				  significant others and agencies, phone contacts, case-related travel, and
				  consultation with other staff, supervisors, and peers.
7. "Center" means the residential treatment center for
				  children.
8. "Client day" means a day for which service is provided or
				  for which payment is ordinarily sought and includes in-house, trial placement,
				  approved leave, or hospital days.
9. "Clinical consultation" means services provided by
				  psychiatrists, clinical psychologist, psychiatric nurses, social workers,
				  addiction counselors, occupational therapists, and other mental health
				  professionals to center staff to develop or increase their skills in providing
				  mental health services.
10. "Cost category" means the classification or grouping of
				  similar or related costs for purposes of reporting and the determination of
				  cost limitations and rates. For the purposes of this chapter, the cost
				  categories of administration, education, maintenance, and rehabilitation will
				  be used.
11. "Cost report" means the department-approved form for
				  reporting costs, statistical data, and other relevant information to the
				  department.
12. "Department" means the department of human services.
13. "Depreciation" means an allocation of the cost of an
				  asset over its estimated useful life.
14. "Education" means the cost of activities related to
				  academic and vocational training generally provided by a school district.
15. "Family counseling or therapy" means treatment in which a
				  counselor or a therapist works with various combinations of family members.
16. "Final rate" means the rate established after any
				  adjustments by the department, including, but not limited to, adjustments
				  resulting from cost report reviews and audits.
17. "Fringe benefits" means workers compensation insurance,
				  group health, dental or vision insurance, group life insurance, payment towards
				  retirement plans, accrued compensation for absences, uniform allowances,
				  employer's share of Federal Insurance Contributions Act and unemployment
				  compensation taxes.
18. "Group counseling" or "group therapy" means a form of
				  treatment in which a group of clients, with similar problems, meet with a
				  counselor or a therapist to discuss difficulties, provide support for each
				  other, gain insight into problems, and develop better methods of meeting their
				  problems.
19. "Individual counseling" or individual therapy" means a
				  form of treatment in which a counselor or therapist works with a client on an
				  individual basis.
20. "Interest" means cost incurred for the use of borrowed
				  funds.
21. "Maintenance" means room and board and includes all costs
				  associated with the preparation and serving of food, the provision of shelter
				  and the maintenance thereof, including depreciation and interest or lease
				  payments, and operating expenses of a vehicle used for transportation of
				  clients.
22. "Medication review" means prescription monitoring and
				  consultation to a client regarding the client's use of medication performed by
				  a psychiatrist or a physician, or a registered nurse or a licensed practical
				  nurse under the medical direction and supervision of a psychiatrist or
				  physician.
23. "Other clinical evaluation" means the evaluation of the
				  client's environmental and personal situation. This includes, but is not
				  limited to, developmental, social, and independent living evaluations.
24. "Partial care" means center or community-based
				  rehabilitative services provided to mentally ill persons to maintain and
				  promote social, emotional, and physical well-being through opportunities for
				  socialization, therapy, work participation, education, and other
				  self-enhancement activities.
25. "Plant operations costs" means the costs for repairing
				  and maintaining the physical plant of the center. These costs include
				  utilities, repairs, and compensation for housekeepers, janitors, engineers,
				  caretakers, and all personnel performing tasks related to repairing and
				  maintaining the physical plant.
26. "Program consultation" means services provided to center
				  staff for development of program design and planning for mental health services
				  to the center.
27. "Property costs" means depreciation, interest on capital
				  debt, property taxes, and rental expense.
28. "Psychiatric evaluation" means the assessment or
				  evaluation of a client by a psychiatrist.
29. "Psychological evaluation" means the assessment or
				  evaluation of a client by or under the supervision of a licensed psychologist.
30. "Rate year" means the twelve-month period beginning the
				  seventh month after the end of a center's fiscal year.
31. "Reasonable cost" means the cost that must be incurred by
				  an efficiently and economically operated center to provide services in
				  conformity with applicable state and federal laws, rules, and quality and
				  safety standards. Reasonable cost takes into account that the center seeks to
				  minimize its costs and that its actual costs do not exceed what a prudent and
				  cost-conscious buyer pays for a given item or services.
32. "Rehabilitation" means services provided for maximum
				  reduction of physical or mental disability and restoration of a client to the
				  best possible functional level. Services can include any medical or remedial
				  service recommended by a physician or other licensed practitioner of the
				  healing arts, within the scope of the practitioner's practice under state law.
33. "Related organization" means an organization which a
				  center is, to a significant extent, associated with, affiliated with, able to
				  control, or controlled by; and which furnishes services, facilities, or
				  supplies to the center. Control exists where an individual or organization has
				  the power, directly or indirectly, to significantly influence or direct the
				  policies of an organization or center.
34. "Report year" means the center's fiscal year.
General Authority: NDCC
					 25-03.2-10,
					 50-06-16
Law Implemented: NDCC
					 25-03.2