Definitions

Adult. For purposes of 104 CMR 29.00, an individual who is 22 years of age or older. Area Director. The individual responsible for the administration and operation of Department activities in the DMH Area where the individual or, in the case of a minor, where his or her legally authorized representative resides. Area Medical Director. The senior psychiatrist with clinical oversight of Department activities in the DMH Area where the individual or, in the case of a minor, where the minor's legally authorized representative resides; the role of Area Medical Director may be delegated to a child psychiatrist with clinical oversight of services provided to youth in the Area. Case Management, Including Critical Need Case Management and Transition Case Management. A service operated by the Department, which is performed in accordance with the provisions of 104 CMR 29.00. The scope of Case Management is set forth at 104 CMR 29.05. Client. An individual for whom DMH services have been authorized and who is enrolled in a DMH service. DMH. Department of Mental Health. DMH Community Services. Community based services contracted for or operated by the Department, but which do not include: Case Management, or short term services provided pursuant to 104 CMR 29.04(1)(h), outpatient clinic services, forensic or court ordered evaluations, or acute mental health services, such as crisis intervention or emergency screening. DMH Community Services do not include services provided in facilities licensed pursuant to 104 CMR 27.00: Licensing and Operational Standards for Mental Health Facilities. (Mass. Register #1496, 5/26/2023) DMH Services. DMH Community Services and/or Case Management. Preadmission Screening and Resident Review (PASRR). For purposes of 104 CMR 29.00, an assessment required by federal regulations, 42 CFR 483.100 et seq., which is performed prior to admission to a nursing facility and periodically during the time one has already been admitted to a nursing facility, to identify in accordance with applicable federal law whether an individual has a serious mental illness for the purposes of PASRR specialized services or other services to address the individual's needs related to their serious mental illness. The initial identification function is termed a Level I Screen. A Level II is the evaluation conducted for purposes of confirming the identification of a serious mental illness and evaluating and determining whether nursing facility services and specialized services are needed or whether the individual is better served in the community. Short Term Admission. For purposes of 104 CMR 29.00 a short-term admission applies to: (a) an individual who is admitted to a nursing facility under a time limited PASRR categorical determination as specified in the Massachusetts Medicaid State Plan for individuals with certain diagnoses, levels of severity of illness, or need for a particular service; or (b) an individual admitted to a nursing facility for up to 30 days for treatment of a medical condition under a PASRR exempted hospital discharge as provided in 43 CFR 483.106(2)(b). Specialized Services. For purposes of 104 CMR 29.00, Specialized Services, as provided in the Massachusetts Medicaid State Plan, are services which exceed the services ordinarily provided by nursing facilities and which address specific service needs related to a person's serious mental illness in accordance with 42 CFR 483.120(a)(1). Youth. An individual younger than 22 years old.