Definitions

As used in 101 CMR 307.00, terms have the meanings in 101 CMR 307.02. Eligible Provider. A psychiatric day treatment center that meets the conditions of participation that have been or may be adopted by a governmental unit purchasing psychiatric day treatment center services. EOHHS. The Executive Office of Health and Human Services established under M.G.L. c.6A. Governmental Unit. The Commonwealth, any department, agency, board, commission, division, or political subdivision of the Commonwealth. Preadmission Evaluation Visit. A comprehensive evaluation of at least one hour by a professional to determine the need for psychiatric day treatment program services and to design a treatment plan. Psychiatric Day Treatment Center. A clinic that provides a psychiatric day treatment program and is freestanding; that is, not financially or physically an integral part of a hospital. Psychiatric Day Treatment Program. A planned combination of diagnostic, treatment, and rehabilitative services provided to mentally or emotionally disturbed persons who need more active or inclusive treatment than is typically available through a weekly visit to a mental health center or hospital outpatient department, but who do not need full-time hospitalization or institutionalization. Such a program utilizes multiple, intensive, and focused activities in a supportive environment to enable such persons to acquire more realistic and appropriate behavior patterns, attitudes, and skills for eventual independent functioning in the community. Publicly Aided Individual. A person who receives health care and services for which a governmental unit is in whole or in part liable under a statutory program. Visit. A face-to-face encounter between a client and one or more staff members of a psychiatric day treatment center. The rates of payment for psychiatric day treatment center services are listed in 101 CMR 307.03. Code Rate Service H2012 Behavioral health day treatment, per hour H2012-U1 Behavioral health day treatment, per hour (Preadmission evaluation visit) See 101 CMR 306.00: Rates for Mental Health Services Provided in Community Health Centers and Mental Health Centers for the rate. Interpretation or explanation of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, per 30 minutes (1) Required Reports. Reporting requirements are governed by 957 CMR 6.00: Cost Reporting Requirements. (2) Penalty for Noncompliance. A purchasing governmental unit may impose a penalty in the amount of up to 15% of its payments to any provider that fails to submit required information. The purchasing governmental unit will notify the provider in advance of its intention to impose a penalty for noncompliance under 101 CMR 307.04(2).