Ch. 13, § 3. Definitions

(a) Except as otherwise specified in Wyoming Medicaid Rules Chapter 1, or as defined herein, the terminology used in this Chapter is the standard terminology and has the standard meaning used in behavioral health care, Medicaid, and Medicare. (b) "Applied Behavior Analysis (ABA) Treatment" means behavior analysis services provided to children between the ages of 0-20 years of age with a diagnosis of Autism Spectrum Disorder in order to improve social, communication, and learning skills. (c) "Behavior analysis" means the design, implementation and evaluation of the instructional and environmental modifications based on scientific research and direct and indirect observation and measurement of behavior and environment to produce socially significant improvements in human behavior. It includes the empirical identification of functional relations between behavior and environmental factors. It does not include psychotherapy, cognitive therapy, psychoanalysis, hypnotherapy, counseling, psychological testing, personality or intellectual or neuropsychological assessments, or the diagnosis of psychological disorders. (d) "Certified center" means a community mental health or substance abuse treatment center that is certified by the Wyoming Department of Health, Behavioral Health Division. (e) "Clinical Professional" means an individual who is licensed as a: (i) Licensed Addictions Therapist; (ii) Licensed Advanced Practitioner of Nursing with a specialty area of psychiatric/mental health (APRN); (iii) Licensed Clinical Social Worker; (iv) Licensed Marriage and Family Therapist; (v) Licensed Physician; (vi) Licensed Professional Counselor; (vii) Licensed Psychiatric Nurse (Master level); (viii) Licensed Psychologist; (ix) Licensed Board Certified Behavior Analyst - Doctoral (BCBA-D), as defined by the Behavior Analyst Certification Board and the Wyoming Board of Psychology (Wyo. Stat. §§ 33-27-124 and 33-27-125); or (x) Licensed Board Certified Behavior Analyst (BCBA), as defined by the Behavior Analyst Certification Board and the Wyoming Board of Psychology (Wyo. Stat. §§ 33-27-124 and 33-27-125). (f) "Clinical staff" means an individual who is a: (i) Case Manager, who has achieved a bachelor's degree in a human relations discipline, is trained in case management, and who is working under the documented and scheduled supervision of a licensed mental health professional; (ii) Certified Addictions Practitioner (CAP), who is certified by the Mental Health Professions Licensing Board pursuant to the Wyoming Mental Health Professions Practice Act (Wyo. Stat. §§ 33-38-101 through -113) to practice under the supervision of a licensed and qualified clinical supervisor; (iii) Certified Addictions Practitioner Assistant (CAPA), who is certified by the Wyoming Mental Health Professions Licensing Board or similar authority in another State to practice under the supervision of a licensed and qualified clinical supervisor; (iv) Certified Mental Health Worker (CMHW), who has achieved a bachelor's degree in a human relations discipline as specified in the Wyoming Mental Health Professions Licensing Board, Chapter 5-Certified Mental Health Worker and who is working under the documented, scheduled supervision of a licensed mental health professional; (v) Certified Peer Specialist (CPS), who has a minimum general equivalency diploma (GED) or high school diploma; meets the criteria and supervision requirements of a Mental Health Technician; is certified by the Division of Behavioral Health as a peer specialist; and is working under the documented, scheduled supervision of a licensed mental health professional; (vi) Certified Social Worker (CSW) or a Certified Mental Health Worker (CMHW), who is certified by the Wyoming Mental Health Professions Licensing Board or similar authority in another State to practice under the supervision of a qualified clinical supervisor licensed in the state of Wyoming; (vii) Licensed Board Certified Assistant Behavior Analyst (BCaBA), as defined by the Behavior Analyst Certification Board and the Wyoming Board of Psychology (Wyo. Stat. §§ 33-27-124 and 33-27-125); (viii) Licensed Practical Nurse (LPN), who is performing nursing duties within the scope of practice as defined by the Wyoming Board of Nursing Rules, Chapter 3-Standards of Nursing Practice; (ix) Mental Health Technician (MHT), who has at minimum a GED or high school diploma, and who is working under the documented, scheduled supervision of a licensed mental health professional; (x) Provisional Licensee, who is provisionally licensed by the Wyoming Mental Health Professions Licensing Board or similar authority in another state to practice under the supervision of a licensed and qualified clinical supervisor. This includes student interns who meet the qualifications required by their respective Board and are practicing and billing under the direct supervision of a licensed and designated qualified clinical supervisor; (xi) Registered Behavior Technician (RBT), who has at minimum a GED or high school diploma, is registered with the Behavior Analyst Certification Board and is a paraprofessional in behavior analysis who practices under the close, ongoing supervision of a licensed BCBA or licensed BCaBA and who delivers services that may be assigned to an RBT but shall not include designing assessment or intervention plans or procedures; or (xii) Registered Nurse (RN) who is performing nursing duties within the scope of practice as defined by the Wyoming Board of Nursing Rules, Chapter 3-Standards of Nursing Practice; (g) "Clubhouse" is a program defined by Wyo. Stat. § 42-4-124(d). (h) "Clubhouse Rehabilitation Services" is a term defined by Wyo. Stat. § 42-4-124(d). (i) "Collateral contact" means an individual involved in the client's care. This individual may be a family member, guardian, healthcare professional, or person who is a knowledgeable source of information about the client's situation and serves to support or corroborate information provided by the client. The individual contributes a direct and exclusive benefit for the covered client. (j) "DLA-20" means a tool designed to reliably assess twenty areas of daily living activity functioning for adults impacted by a mental illness or disability. (k) "Evidence-based intervention" means intervention that: (i) Shows statistically significant effectiveness through empirical research in treating specific problems and populations; (ii) Is consistent with relevant clinical expertise; and (iii) Considers client preferences and values. (l) "Evidence-informed intervention" means programs and practices that use the best available research and practice knowledge to guide their design and implementation. (m) "Habilitative services" means services that help clients keep, learn, or improve skills and functioning for daily living. Examples include therapy for a child who is not walking or talking at the expected age. (n) "Independent Assessor" means an assessor certified by the Department who: (i) Has completed DLA-20 assessment training and passed the Department's DLA-20 proficiency exam; (ii) Is current with all continuing certification requirements; (iii) Does not have any financial tie to a clubhouse provider; and (iv) At a minimum has obtained a GED and has two years of lived experience, or a bachelor's degree in a human service-related field. (o) "Member" means a client receiving Clubhouse Rehabilitation Services. (p) "Rehabilitative services" means services that help clients keep, get back, or improve skills and functioning for daily living that have been lost or impaired due to the client's illness, injury, or acquired disability. (q) "Serious mental illness (SMI)" means a long-term illness involving substantial functional impairment over multiple symptom domains. These impairments often lead to an inability to maintain gainful employment, poor social support, repeated psychiatric hospitalizations, homelessness, incarceration, and coexisting substance use disorders. Possible diagnoses include psychotic disorders, bipolar disorder, major depression with psychotic symptoms and treatment-resistant depression. SMI can also include anxiety disorders, eating disorders, and personality disorders if the degree of functional impairment is severe.