Ariz. Admin. Code § R9-22-1201 - Definitions
1.
Administration. The program shall be administered as
specified in A.R.S. §
36-2903 .
2.
Provision of services. Behavioral health services
shall be provided as specified in A.R.S. §
36-2907
and this Chapter.
3. Definitions. The
following definitions apply to this Article:
"Adult behavioral health therapeutic home" as defined in 9 A.A.C. 10, Article 1.
a. "Agency" for the
purposes of this Article means a behavioral health facility, a classification
of a health care institution, including a mental health treatment agency
defined in A.R.S. §
36-501,
that is licensed to provide behavioral health services according to A.R.S.
Title 36, Chapter 4.
"Assessment" means an analysis of a patients need for physical health services or behavioral health services to determine which services a health care institution will provide to the patient.
b. "Behavior management
services" means services that assist the member in carrying out daily living
tasks and other activities essential for living in the community, including
personal care services.
c.
"Behavioral health adult therapeutic home" means a
licensed behavioral health service agency that is the licensee's residence
where behavioral health adult therapeutic home care services are provided to at
least one, but no more than three individuals, who reside at the residence,
have been diagnosed with behavioral health issues, and are provided with food
and are integrated into the licensee's family.
d. "Behavioral health
therapeutic home care services" means interactions that teach the client
living, social, and communication skills to maximize the client's ability to
live and participate in the community and to function independently, including
assistance in the self-administration of medication and any ancillary services
indicated by the client's treatment plan, as appropriate.
e.
"Behavioral health evaluation" means the assessment
of a member's medical, psychological, psychiatric, or social condition to
determine if a behavioral health disorder exists and, if so, to establish a
treatment plan for all medically necessary services.
f. "Behavioral health medical practitioner" means a health care
practitioner with at least one year of full-time behavioral health work
experience.
g.
"Behavioral health professional" means the same as
in A.A.C.
R9-20-101
h. "Behavioral health service"
means a service provided for the evaluation and diagnosis of a mental health or
substance abuse condition and the planned care, treatment, and rehabilitation
of the member.
"Behavioral health services" means medical services, nursing services, health-related services, or ancillary services provided to an individual to address the individual's behavioral health issue.
i. "Behavioral health technician"
means the same as in A.A.C.
R9-20-101 .
"Behavioral health technician" means an individual who is not a behavioral health professional who provides behavioral health services at or for a health care institution according to the health care institution's policies and procedures that: a. If the behavioral health services were provided in a setting other than a licensed health care institution, the individual would be required to be licensed as a behavioral professional under A.R.S. Title 32, Chapter 33; and b. Are provided with clinical oversight by a behavioral health professional.
j. "Case management" for
the purposes of this Article, means services and activities that enhance
treatment, compliance, and effectiveness of treatment.
k. "Certified psychiatric
nurse practitioner" means a registered nurse practitioner who meets the
psychiatric specialty area requirements under A.A.C.
R4-19-505(C).
l. "Client" for the purposes of
this rule means the same as in A.A.C.
R9-22-101
"Clinical oversight" means as described under 9 A.A.C. 10.
m. "Cost avoid" means to
avoid payment of a third-party liability claim when the probable existence of
third-party liability has been established under
42 CFR
433.139(b).
Court-ordered evaluation" has the same meaning as "evaluation" in A.R.S. § 36-501.
Court-ordered pre-petition screening" has the same meaning as "pre-petition screening" in A.R.S. § 36-501.
Court-ordered treatment" means treatment provided according to A.R.S. Title 36, Chapter 5.
"Crisis services" means immediate and unscheduled behavioral health services provided to a patient to address an acute behavioral health issue affecting the patient.
"Direct supervision" has the same meaning as "supervision" in A.R.S. § 36-401.
"Emergency medical services provider" has the same meaning as in A.R.S. § 36-2201.
"Health care institution" has the same meaning as defined in A.R.S. § 36-401.
n. "Health care
practitioner" means a:
Physician;
Physician assistant;
Nurse practitioner; or
Other individual licensed and authorized by law to use and prescribe medication and devices, as defined in A.R.S. § 32-1901.
o. "Licensee" means the
same as in 9 A.A.C. 10, Article 1.
p. "OBHL" means the same as in
A.A.C.
R9-20-101 .
"Medical practitioner" means a physician, physician assistant, or nurse practitioner.
q. "Partial care" means a
day program of services provided to individual members or groups that is
designed to improve the ability of a person to function in a community, and
includes basic, therapeutic, and medical day programs.
r. "Physician assistant"
means the same as in A.R.S. §
32-2501
except that when providing a behavioral health service, the physician assistant
shall be supervised by an AHCCCS-registered psychiatrist.
s. "Psychiatrist" means a
physician who meets the licensing requirements under A.R.S. §
32-1401
or a doctor of osteopathy who meets the licensing requirements under A.R.S.
§
32-1800,
and meets the additional requirements of a psychiatrist under A.R.S. §
36-501.
t. "Psychologist" means a
person who meets the licensing requirements under A.R.S. §§
32-2061
and
36-501.
u. "Qualified behavioral
health service provider" means a behavioral health service provider that meets
the requirements of
R9-22-1206.
v. "Respite" means a
period of care and supervision of a member to provide rest or relief to a
family member or other person caring for the member. Respite provides
activities and services to meet the social, emotional, and physical needs of
the member during respite.
w. "TRBHA" or "Tribal
Regional Behavioral Health Authority" means a Native American tribe under
contract with ADHS/DBHS to coordinate the delivery of behavioral health
services to eligible and enrolled members of the federally-recognized tribal
nation.
Notes
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