Section 22-A3399. DEFINITIONS

 

Assertive Community Treatment or “ACT” - Assertive Community Treatment (ACT).  An evidenced-based practice model that provides a proactive, consumer driven, intensive, integrated rehabilitative, crisis, treatment, and mental health rehabilitative community support service to adult consumers with serious and persistent mental illness.  Services are provided by an interdisciplinary team, with dedicated staff time and specific staff to consumer ratios in order to assist consumers to meet their goals in the community and assist with integration into the community. ACT is a specialty service.

Clinical home - a Core Services Agency or a Specialty Provider who can enroll a consumer in eCura and once enrolled assumes the clinical and fiscal responsibility for coordinating, delivering and managing the care for that consumer.

 

Community Based Intervention or “CBI” – time-limited, intensive, mental health services delivered to children and youth ages six (6) through twenty-one (21). CBI services are intended to prevent the utilization of an out-of-home therapeutic resource or a detention of the consumer.  CBI is a specialty service. There are three (3) levels of CBI services available: Level I services shall be delivered in accordance with the Multisystemic Therapy (MST) Model; Level II and Level III services shall be delivered in accordance with the Intensive Home and Community-based Services (IHCBS) model as adopted by DMH.

 

Core Service Agency or “CSA” – a DMH-certified community-based MHRS provider that has entered into a Human Care Agreement with DMH to provide specified MHRS services.  A CSA shall provide at least one core service directly and may provide up to three core services via contract with a sub-provider or subcontractor.  A CSA may provide specialty services directly if certified by DMH as a specialty provider.  However, a CSA shall also offer specialty services via an affiliation agreement with all specialty providers.

 

Consumer Transition Voucher or “CTV” –  a consumer transition rate payment voucher established by DMH to support transition services provided to consumers transferred from the DCCSA as part of the Department’s closure of the DCCSA.  The CTV is intended to provide additional funds to the CSA, ACT Program, or CBI provider, whichever unit becomes the consumer’s new clinical home, to assist in the cost of additional staffing, training and service requirements for each new consumer during the transition period.

 

Mental Health Rehabilitation Services or “MHRS” -  mental health rehabilitative or palliative services provided by a DMH-certified community mental health provider to consumers in accordance with the District of Columbia State Medicaid Plan, the MAA/DMH Interagency Agreement, and this chapter.

 

Transitional Care Case Rate or “TCR” - the authorization and billing code established by DMH for providers to use to submit claims for payment of the Consumer Transition Voucher.

 

source

Final Rulemaking published at 56 DCR 4399 (May 1, 2009).