Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › GENERAL PROVISIONS › Section 4305.4 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this chapter,
						have the following meanings, unless the context clearly indicates
						otherwise:
Base service unit
-The functional unit
						responsible for assessing and evaluating client needs, planning comprehensive
						treatment programs and making available the necessary services on a continuing
						basis.
County administrator
-The administrator
						of the county mental health and intellectual disability program, or a
						designee.
Intellectual disability professional
-A
						case manager or an individual who is responsible for the clinical treatment
						program for the client.
Liability
-The maximum monthly amount the
						liable person is charged toward the cost of service for the client. The term
						does not include the cost of the client's room or board.
Liable person
-The person responsible for
						payment of the liability. The term includes the following persons:
(i) If the client is 18 years of age or
					 older, the client is not married and the client does not have a legal guardian
					 of estate or a representative payee, the client is the liable person.
(ii) If the client is married, and the client
					 does not have a legal guardian of estate or a representative payee, the client
					 and the client's spouse are the liable persons.
(iii) If the client is under 18 years of age,
					 the client is not married, the client is not an emancipated minor and the
					 client does not have a legal guardian of estate or a representative payee, both
					 of the client's parents are the liable persons.
(iv) If the client is under 18 years of age,
					 the client is not married, the client is an emancipated minor and the client
					 does not have a legal guardian of estate or a representative payee, the client
					 is the liable person.
(v) If the
					 client has a legal guardian of estate or a representative payee, the legal
					 guardian of estate or the representative payee is the liable person.
Mental health client fee schedule
-A list
						of the provider's usual and customary charges to the general public for a unit
						of service.
Mental health professional
-An individual
						practicing in a generally recognized clinical discipline including, but not
						limited to, psychiatry, social work, psychology, nursing, rehabilitation or
						activity therapies, who has a graduate degree and clinical experience.
Net charge
-The amount the provider bills
						for services provided.
Outpatient unit of service
-One-half hour
						of treatment in a licensed mental health outpatient clinic/program.
Parent
-A biological or adoptive mother
						or father of the client.
Partial hospitalization unit of
						service
-Three hours per day of treatment in a licensed mental health
						partial hospitalization program.
Representative payee
-A person or an
						organization selected by a benefit issuing agency to receive and manage
						benefits on behalf of a beneficiary.
The provisions of this §
													4305.4 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
This section cited in 55 Pa. Code §
													4300.117 (relating to computation
						  of reimbursement).