28 Tex. Admin. Code § 21.3102 - Definitions
The following words and terms, when used in this subchapter, have the following meanings, unless the context clearly indicates otherwise:
(1) Acquired brain
injury--A neurological insult to the brain that is not hereditary, congenital,
or degenerative. The injury to the brain has occurred after birth and results
in a change in neuronal activity, which results in an impairment of physical
functioning, sensory processing, cognition, or psychosocial behavior.
(2) Cognitive communication therapy--Services
designed to address modalities of comprehension and expression, including
understanding, reading, writing, and verbal expression of
information.
(3) Cognitive
rehabilitation therapy--Services designed to address therapeutic cognitive
activities, based on an assessment and understanding of the individual's
brain-behavioral deficits.
(4)
Community reintegration services--Services that facilitate the continuum of
care as an affected individual transitions into the community.
(5) Enrollee--A person covered by a health
benefit plan.
(6) Health benefit
plan--As described in Insurance Code §
1352.001 and §
1352.002.
(7) Issuer--Those entities identified in
Insurance Code §
1352.001.
(8) Neurobehavioral testing--An evaluation of
the history of neurological and psychiatric difficulty, current symptoms,
current mental status, and premorbid history, including the identification of
problematic behavior and the relationship between behavior and the variables
that control behavior. This may include interviews of the individual, family,
or others.
(9) Neurobehavioral
treatment--Interventions that focus on behavior and the variables that control
behavior.
(10) Neurocognitive
rehabilitation--Services designed to assist cognitively impaired individuals to
compensate for deficits in cognitive functioning by rebuilding cognitive skills
and/or developing compensatory strategies and techniques.
(11) Neurocognitive therapy--Services
designed to address neurological deficits in informational processing and to
facilitate the development of higher level cognitive abilities.
(12) Neurofeedback therapy--Services that
utilize operant conditioning learning procedures based on
electroencephalography (EEG) parameters, and are designed to result in improved
mental performance and behavior, and stabilized mood.
(13) Neurophysiological testing--An
evaluation of the functions of the nervous system.
(14) Neurophysiological
treatment--Interventions that focus on the functions of the nervous
system.
(15) Neuropsychological
testing--The administering of a comprehensive battery of tests to evaluate
neurocognitive, behavioral, and emotional strengths and weaknesses and their
relationship to normal and abnormal central nervous system
functioning.
(16)
Neuropsychological treatment--Interventions designed to improve or minimize
deficits in behavioral and cognitive processes.
(17) Outpatient day treatment
services--Structured services provided to address deficits in physiological,
behavioral, and/or cognitive functions. Such services may be delivered in
settings that include transitional residential, community integration, or
nonresidential treatment settings.
(18) Post-acute-care treatment
services--Services provided after acute-care confinement and/or treatment that
are based on an assessment of the individual's physical, behavioral, or
cognitive functional deficits, which include a treatment goal of achieving
functional changes by reinforcing, strengthening, or reestablishing previously
learned patterns of behavior and/or establishing new patterns of cognitive
activity or compensatory mechanisms.
(19) Postacute transition services--Services
that facilitate the continuum of care beyond the initial neurological insult
through rehabilitation and community reintegration.
(20) Psychophysiological testing--An
evaluation of the interrelationships between the nervous system and other
bodily organs and behavior.
(21)
Psychophysiological treatment--Interventions designed to alleviate or decrease
abnormal physiological responses of the nervous system due to behavioral or
emotional factors.
(22)
Remediation--The process or processes of restoring or improving a specific
function.
(23) Services--The work
of testing, treatment, and providing therapies to an individual with an
acquired brain injury.
(24)
Therapy--The scheduled remedial treatment provided through direct interaction
with the individual to improve a pathological condition resulting from an
acquired brain injury.
Notes
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