Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 1 - GENERAL PROVISIONS › Section 1-4 - Definitions

Current through July 13, 2024
The following definitions shall apply in the interpretation
				  and enforcement of these rules. Where the context in which words are used in
				  these rules indicates that such is the intent, words in the singular number
				  shall include the plural, and vice versa. Throughout these rules, gender
				  pronouns are used interchangeably, except where the context dictates otherwise.
				  The drafters have attempted to utilize each gender pronoun in equal numbers, in
				  random distribution. Words in each gender shall include individuals of the
				  other gender.
(a) "Administrator"
				means the administrator of the Mental Health and Substance Abuse Services
				Division, the administrator's agent, designee or successor.
(b) "Admission" means the specific tasks
				necessary to screen, assess and admit a person to a substance abuse treatment
				service, such as completion of admission forms, notification of client rights
				and confidentiality regulations, explanation of the general nature and goals of
				the service, review of the intake policies and procedures of the service
				program followed by a formal orientation to the service structure. Medical
				necessity shall be reviewed for Medicaid clients.
(c) "American Society of Addiction Medicine
				Patient Placement Criteria (ASAM PPC)" means the current edition or set of
				placement criteria for substance abuse clients published by the American
				Society of Addiction Medicine.
(d)
				"Applicant" means a person, agency, organization, or governmental agency who
				has filed an application to become an approved alcohol/drug prevention, early
				intervention, recovery support services, and/or treatment program under these
				rules.
(e) "Appropriate placement"
				means the placement of an individual in a treatment setting when the
				individual, based on need, meets the minimum standards for admission to that
				treatment setting and the individual's need for treatment do not exceed the
				level of services which the treatment setting is capable of providing. Medical
				necessity shall be reviewed for Medicaid clients.
(f) "Assessment" means contact with a client
				(and collaterals as necessary) for the purposes of completing an evaluation of
				the client's substance abuse/mental health disorder(s) to determine treatment
				needs and establish a treatment plan. Medical necessity shall be reviewed for
				Medicaid clients.
(g)
				"Bio-psychosocial spiritual assessment" means a comprehensive assessment which
				includes a history of physical, emotional, social, and spiritual needs, and a
				comprehensive alcohol and drug use history, including assessment for suicidal
				and homicidal ideation.
(h) "Case
				management" means the activities guided by a client's treatment plan which
				bring services, agencies, resources, and people together within a planned
				framework of action toward the achievement of established treatment goals,
				including wrap around services. Medical necessity shall be reviewed for
				Medicaid clients.
(i)
				"Certification" means the Division formally recognizes the program/provider as
				having met the requirements of these rules that pertain to specific substance
				abuse prevention, early intervention, recovery support services and treatment
				services provided.
(j) "Certified
				Peer Specialist Services" means therapeutic contact with enrolled clients (and
				collaterals as necessary) for the purpose of implementing the portion of the
				enrolled client's treatment plan that promotes the clients to direct their own
				recovery and advocacy process or training to parents on how best to manage
				their child's substance abuse and/or mental health disorder to prevent out of
				home placement; to teach and support the restoration and exercise of skills
				needed for management of symptoms; and for utilization of natural resources
				with the community.
(k) "Client"
				means a person receiving services by a certified provider.
(l) "Clinical supervisor" means a Wyoming
				Mental Health Professions Licensing Board qualified clinical supervisor as
				defined in W.S. §
									
										33-38-102(a)(xiii), or
				psychologist or physician when practicing within the scope of his or her
				license and competency.
(m)
				"Coalition" means an organization of members consisting of individuals,
				organizations, and agencies to develop strategies and identify activities and
				services, which address the needs of a community or of a racial, ethnic,
				religious, or social group regarding the use of, misuse of, and dependence on
				alcohol and other drugs in that community or group.
(n) "Comprehensive Medication Services" means
				assistance to recipients by licensed and duly authorized medical personnel,
				acting within the scope of their licensure, regarding day to day management to
				the client's medication regime. This service may include education of client's
				regarding compliance with prescribed regime, filling pill boxes, locating
				pharmacy services, and assistance in managing symptoms that do not require a
				prescriber's immediate attention. This service is separate and distinct from
				the medication performed by physicians, physician's assistants and advanced
				practitioners of nursing who have prescriptive authority. Medical necessity
				shall be reviewed for Medicaid clients.
(o) "Continuum of care" means an integrated
				network of treatment services and modalities, designed so that an individual's
				changing needs will be met as that individual moves through the treatment and
				recovery process.
(p) "Contract"
				means a formal agreement with any organization, agency, or individual
				specifying the services, personnel, products, or space to be provided by, to,
				or on behalf of the program and the consideration to be expended in
				exchange.
(q) "Co-occurring
				disorder(s)" means concurrent substance-related and mental disorders per most
				recent edition of Diagnostic Statistical Manual criteria.
(r) "Counseling" means as defined by the
				"Wyoming Mental Health Professions Licensing Board" established under the
				provisions of W.S. §
									
										33-38-101,
et seq
., the
				Wyoming Board of Psychology, as defined pursuant to W.S. §
									
										33-27-113(a)(v), or a
				Wyoming Advanced Psychiatric Nurse.
(s) "Counselor" means a person who is
				credentialed through the Wyoming Mental Health Professions Licensing Board
				established under the provisions of W.S. §
									
										33-38-101,
et seq
, a
				psychologist who is licensed to practice psychology pursuant to W.S. §
									
										33-27-113(a)(v), or a
				Wyoming Advanced Psychiatric Nurse.
(t) "Crisis intervention" means services that
				respond to a client's needs during acute episodes that may involve emotional,
				psychological, and/or physical distress, imminent relapse, and/or danger to
				self or others.
(u) "Cultural
				competency" means an organization's or individual provider's ability to
				recognize, respect, and address the unique needs, worth, thoughts,
				communications, actions, customs, beliefs, and values that reflect an
				individual's racial, ethnic, religious, social group, and sexual
				orientation.
(v) "Department"
				unless otherwise made clear in the context of its usage, means the Wyoming
				Department of Health.
(w)
				"Detoxification plan" means a planned procedure based on clinical and/or
				medical findings for managing or monitoring withdrawal from alcohol or other
				drugs.
(x) "Detoxification service"
				means a process of withdrawing a person from alcohol and other drugs in a safe
				and effective manner.
(y)
				"Diagnostic and Statistical Manual of Mental Disorders (DSM)" means the most
				recent edition of the Diagnostic and Statistical Manual of the American
				Psychiatric Association which is incorporated by this reference.
(z) "Division" means the Mental Health and
				Substance Abuse Services Division of the Wyoming Department of
				Health.
(aa) "DSM" means Diagnostic
				and Statistical Manual of Mental Disorders.
(bb) "Early intervention" means activities
				that take place with high-risk individuals, families, or populations with the
				goal of averting or interrupting the progression of issues and risk factors
				associated with substance use.
(cc)
				"Education" means strategies that teach people critical information about
				alcohol and other drugs and the physical, emotional, and social consequences of
				their use.
(dd) "Education
				Services" means in compliance with the Wyoming Board of Education.
(ee) "Executive Director" means the
				individual appointed by the governing body to act on its behalf in the overall
				management of the program. Other job titles may include director,
				superintendent, program administrator, president, vice-president, and executive
				vice-president.
(ff) "Facility"
				means the building(s), including furnishings and fixtures, where persons with
				alcohol or drug problems receive services. This is synonymous with offices,
				clinic, or physical plant.
(gg)
				"Felony" means a criminal offense for which the penalty authorized by law
				includes imprisonment in a state penal institution for more than one (1)
				year.
(hh) "Governing Body" means
				the individual(s), board of directors, group, or agency that has ultimate
				authority and responsibility for the overall operation of a substance abuse
				prevention, early intervention, recovery support services and treatment
				services.
(ii) "Group Therapy"
				means therapeutic contact with two or more unrelated clients and or collaterals
				as necessary for the purpose of implementing each client's treatment plan. This
				service is targeted at reducing or eliminating specific symptoms or behaviors
				related to the client's substance abuse/mental health disorder(s) as identified
				in the treatment plan. Medical necessity shall be reviewed for Medicaid
				clients.
(jj) "Guardian(s)" means a
				parent, trustee, conservator, committee, or other individual or agency
				empowered by law to act on behalf of, or have responsibility for, a client for
				treatment services.
(kk) "HIPAA"
				means the Health Insurance Portability and Accountability Act.
(ll) "Individualized Treatment plan" means a
				written action plan based on initial and ongoing assessment information that
				identifies the client's clinical needs, the strategy for providing services to
				meet those needs, measurable treatment goals and objectives, and criteria for
				discharge. Medical necessity shall be reviewed for Medicaid clients.
(mm) "Individual/Family Therapy" means
				provider based individual/family services. Therapeutic contact, within the
				provider's office or agency, with the recipient and/or collaterals for the
				purpose of developing and implementing the treatment plan for an individual or
				family. This service is targeted at reducing or eliminating specific symptoms
				or behaviors which are related to the client's substance abuse/mental health
				disorder(s) as specified in the treatment plan. Medical necessity shall be
				reviewed for Medicaid clients.
(nn)
				"Intoxicated Person" means a person whose mental or physical functioning is
				impaired as a result of alcohol or drug use, including the inappropriate use of
				prescription drugs.
(oo) "Level of
				care" means a certified setting, intensity, and frequency of services provided
				by a service program and determined through the use of scientifically validated
				assessment tools.
(pp) "Licensed
				practical nurse" means a person who is a licensed practical nurse under W.S.
				§
									
										33-21-119,
et seq
.
(qq) "Medical Necessity" means a covered
				service that is consistent with the diagnosis and treatment of the recipient's
				condition; in accordance with the standards of good medical practice among the
				provider's peer group and required to meet the medical need of the client and
				undertaken for reasons other than the convenience of the client or the
				provider; and provided in the most cost effective and appropriate setting
				required by the client's condition.
(rr) "Medical Screening" means a screening
				conducted by a licensed practical nurse, registered nurse, nurse practitioner,
				physician's assistant, or licensed physician. Medical necessity shall be
				reviewed for Medicaid clients.
(ss)
				"Medically managed services" means services provided or directly managed by a
				physician.
(tt) "Mental disorder"
				means a condition listed in current American Psychiatric Association Diagnostic
				and Statistical Manual of Mental Disorders (DSM) or International
				Classification of Diseases.
(uu)
				"Mental health professional" means a person qualified by training or
				cross-training to diagnose mental disorders, including an individual licensed
				to practice under W.S. §§ 33-21-101, et seq.,
				
										33-26-101, et seq., 33-27-101 et seq., and
				
										33-38-101,
et seq
., when
				practicing within the scope of their competency and license.
(vv) "Nurse" means a registered nurse (R.N.),
				licensed practical nurse (L.P.N.), or nurse practitioner who, for the purposes
				of these rules and minimum standards, also shall have specialized training,
				education, and experience in treating persons with problems related to
				alcohol/drug use.
(ww) "Nurse
				practitioner" means a person licensed to practice under W.S. §
									
										33-21-119,
et seq
.
(xx) "Participant" means a person who
				receives or participates in a service provided by a prevention, early
				intervention, recovery support service, or treatment program.
(yy) "Physician" means a person who is
				licensed by the Wyoming Board of Medicine licenses and disciplines.
(zz) "Prevention program" means a program
				that provides services, strategies, and activities to the general public and to
				persons who are at a high risk of having a substance-related disorder which:
(a) is comprehensively structured to reduce
				individual or environmental risk factors for substance-related
				disorders;
(b)  increases
				resiliency to substance-related disorders; and
(c) establishes protections against
				substance-related disorders.