23 Miss. Code. R. 223-6.1 - Definitions
A. The Division of
Medicaid defines:
1. Clinical/medical case
record as the central repository of all pertinent information about the
beneficiary that provides an accurate chronological accounting of the treatment
plan and progress.
2. Day treatment
as a behavioral intervention and strengths-based program, provided in the
context of a therapeutic milieu, which enables beneficiaries between the ages
of three (3) and twenty-one (21) with serious emotional disturbances or
autism/Asperger's syndrome to live in the community.
3. A developmental evaluation as an
assessment by a licensed practitioner utilizing standardized developmental
instruments of the current cognitive, social and motor function of
beneficiaries younger than three (3) years of age or beneficiaries with such
severe mental or physical disabilities that a standardized intellectual
assessment is not possible.
4.
Duplication of services as the provision of the same service to the same
beneficiary by the same or different provider on the same day.
5. A neuropsychological evaluation as a
performance-based method to assess cognitive functioning which includes the
collection of diagnostic information, differential diagnostic information,
assessment of treatment response, and prediction of functional potential and
recovery potential.
6. Wraparound
facilitation as a targeted case management program that includes the creation
and facilitation of a child/youth and family team for the purpose of developing
a single care plan to address the needs of children/youth who require the level
of care provided in a Psychiatric Residential Treatment Facility
(PRTF).
7. Mississippi Youth
Programs Around the Clock (MYPAC) Therapeutic services as a community
psychiatric support treatment program provided in the home or community, to
Early and Periodic Screening, Diagnosis and Treatment (EPSDT) eligible
beneficiaries that require the level of care provided in a psychiatric
residential treatment facility (PRTF), for family stabilization to empower the
beneficiary to achieve the highest level of functioning. These are a group of
therapeutic interventions designed to diffuse the current crisis, evaluate its
cause, and intervene to reduce the likelihood of a recurrence.
B. Service definitions in Miss.
Admin. Code Title 23, Part 206, Rule
1.2 are applicable to this
Part.
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No prior version found.