14 CRR-NY 508.4NY-CRR

STATE COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK
TITLE 14. DEPARTMENT OF MENTAL HYGIENE
CHAPTER XIII. OFFICE OF MENTAL HEALTH
PART 508. MEDICAL ASSISTANCE RATES OF PAYMENT FOR ASSERTIVE COMMUNITY TREATMENT SERVICES
14 CRR-NY 508.4
14 CRR-NY 508.4
508.4 Definitions.
(a) Active client in assertive community treatment means an individual who:
(1) is admitted to an assertive community treatment program;
(2) has an individual treatment plan; and
(3) may or may not be currently receiving services.
(b) Adult means an individual 18 years old and over.
(c) Assertive community treatment (ACT) program means a comprehensive program of ACT treatment services established by the office to serve identified clients with serious mental illness who require intensive services in order to remain in the community.
(d) Assertive community treatment (ACT) services means a comprehensive and integrated combination of treatment, rehabilitation, case management, and support services primarily provided in the client's residence or other community locations by a mobile multi-disciplinary mental health treatment team.
(e) Behavioral Health Organization or BHO means an entity selected by the Commissioner of the Office of Mental Health and the Commissioner of the Office of Alcoholism and Substance Abuse Services pursuant to section 365-m of the New York State Social Services Law to provide administrative and management services for the purposes of conducting concurrent review of behavioral health admissions to inpatient treatment settings, assisting in the coordination of behavioral health services, and facilitating the integration of such services with physical health care.
(f) Collaterals means persons who are:
(1) significant others or members of the client's family or household, academic or workplace setting who regularly interact with the client and are directly affected by, or have the capability of affecting, his or her condition; and
(2) identified in the client's treatment plan as having a role in treatment and/or are identified in the pre-admission notes as necessary for participation in the evaluation and assessment of the client prior to admission.
(g) Commissioner means the Commissioner of Mental Health.
(h) Concurrent Review means the review of the clinical necessity for continued inpatient behavioral health services, resulting in a non-binding recommendation regarding the need for such continued inpatient services.
(i) Contact means a face-to-face interaction of at least 15 minutes duration where at least one ACT service is provided between an ACT team staff member and a client or collateral.
(j) Month means any time between and including the first and last days of any calendar month in a given year.
(k) Office means the Office of Mental Health.
(l) PROS services means personalized recovery oriented services provided pursuant to Part 512 of this Title.
(m) Provider of services means an individual, partnership, association, corporation, public agency, or a psychiatric center or institute licensed by the office which is legally responsible for the operation of an ACT program.
(n) Single point of access (SPOA) is an entity in each county that manages referrals to the ACT Program.
14 CRR-NY 508.4
Current through August 15, 2021
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