Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 135 - Medicaid Coverage; Behavioral Health Services
Article 4 - General Provisions
7 AAC 135.990 - Definitions

Universal Citation: 7 AK Admin Code 135.990

Current through November 28, 2024

In this chapter, unless the context requires otherwise.

(1) "active treatment" means that the individual who renders the services actively engages the recipient and provides pre-planned specific interventions, supports, or other actions that assist the recipient in achieving the goals written in the behavioral health treatment plan;

(2) "adjunctive treatment" means a treatment that is associated with another treatment in a subordinate or auxiliary capacity;

(3) "adult experiencing an emotional disturbance" means an individual described in 7 AAC 135.050;

(4) "behavioral health clinic services" means services provided under 7 AAC 135.010(b);

(5) "behavioral health rehabilitation services" means services provided under 7 AAC 135.010(c);

(6)"behavioral health screening" means administering and interpreting a screening tool described in 7 AAC 135.100, at the point of entry to a behavioral health program to determine the appropriate assessments needed to identify the recipient's treatment needs;

(7) "behavioral health treatment plan" means

(A) a written individualized treatment plan that details
(i) the goals, objectives, services, and interventions selected to address a recipient's behavioral health needs identified by a professional behavioral health assessment under 7 AAC 135.110; and

(ii) with respect to selected services and interventions, their frequency and duration; or

(B) a short-term crisis intervention plan under 7 AAC 135.160, or short-term crisis stabilization plan under 7 AAC 135.170;

(8) "case management" means assistance to the recipient and the recipient's family in accessing and coordinating high-quality needed services, including

(A) medical, psychiatric, and mental health services;

(B) substance use disorder treatment;

(C) educational, vocational, and social supports; and

(D) community-based services, related assessments, and post-discharge follow-up activities;

(9) "child experiencing an emotional disturbance" means an individual under described in 7 AAC 135.060;

(10) repealed 4/24/2020.

(11) "co-occurring disorder" means a diagnosable substance use disorder and a diagnosable mental health disorder that the recipient experiences at the same time;

(12) repealed 4/24/2020.

(13) "directing clinician" means a substance use disorder counselor or a mental health professional clinician who, by virtue of that individual's education, training, and experience, and with respect to the recipient's behavioral health treatment plan,

(A) develops or oversees the development of the plan;

(B) periodically reviews and revises the plan as needed;

(C) signs the plan each time a change is made to the plan; and

(D) monitors and directs the delivery of all services identified in the plan;

(14) "general direction" means, in a community behavioral health services provider, a physician provides general program and clinical consultative services when needed;

(15) "Medicaid behavioral health services" means the behavioral health clinic services identified in 7 AAC 135.010(b) and the behavioral health rehabilitation services identified in 7 AAC 135.010(c);

(16) "medical evaluation" means a physical examination that includes appropriate testing, the ordering of other appropriate tests, a review of medical history and present problems, face-to-face consultation, and medical decision-making;

(17) "medication administration services" means the administration, by medical personnel, of injectable or oral medications to a recipient, documentation of medication compliance, assessment and documentation of side effects, and evaluation and documentation regarding the effectiveness of the medication; in this paragraph, "medical personnel" means

(A) a physician;

(B) a physician assistant;

(C) an advanced practice registered nurse

(D) a registered nurse supervised by a physician or advanced advanced practice registered nurse; or

(E) a licensed practical nurse supervised by a physician or advanced practice registered nurse

(18) "mental status examination" means the process of assessing an individual's thoughts, moods, self-identity, insight or judgment, memory, speech, intellectual functioning, time-and-place orientation, and reasoning or problem-solving ability to assist in establishing a diagnosis and case formulation;

(19) repealed 6/30/2021.

(20) "screening and brief intervention" means non-mandatory screening by a provider under 7 AAC 135.240(a) for the purposes of

(A) early identification of a developing substance use problem, or identification of a previously unknown substance use disorder; and

(B) providing brief interventions or referral to a substance use disorder treatment program;

(21) "short-term crisis" means an acute episode of a mental, emotional, behavioral, or psychiatric disorder;

(22) "substance use disorder counselor" means an individual who

(A) has completed a course of study, training, or education, or who has documented evidence of experience, that has resulted in demonstrated competency to assist with or to independently conduct screening, assessment, treatment planning, case management, and provision of rehabilitative services for the treatment of substance use disorders; and who
(i) works within the scope of the individual's education, training, and experience;

(ii) adheres to a code of professional ethics; and

(iii) participates in continuing education to enhance relevant knowledge, skills, abilities, and professional characteristics; or

(B) holds any current, valid certificate from the National Association for Alcoholism and Drug Abuse Counselors, the International Certification and Reciprocity Consortium, the Alaska Commission for Behavioral Health Certification, or the Alaska Native Tribal Health Consortium Behavioral Health Aide Program;

(23) "adult experiencing a serious mental illness" means an individual described in 7 AAC 135.055;

(24) "child experiencing a severe emotional disturbance" means an individual described in 7 AAC 135.065.

(25) "adaptive behavior treatment" means services to treat a recipient's deficient adaptive behaviors or maladaptive behaviors, a recipient's impaired social skills and communication, or the recipient's destructive behaviors that impair, delay or adversely affect normal childhood growth, development, or communication;

(26) "adaptive behavior treatment by protocol"

(A) means adaptive behavior treatment that adheres to the protocols that the behavior analyst has designed;

(B) includes skills training delivered to a recipient by introducing small, incremental changes to the recipient's expected routine along one or more stimulus dimensions, and delivering reinforcement each time the recipient appropriately tolerates a given stimulus change;

(27) "adaptive behavior treatment by protocol modification" means a licensed behavior analyst directly demonstrates a recipient's individualized new or modified protocol with the recipient to a recipient's licensed assistant behavior analyst, autism behavior technician, guardian, or parent;

(28) "autism services"

(A) means the
(i) design, implementation, and evaluation of instructional and environmental modifications to produce socially significant improvements in human behavior;

(ii) empirical identification of functional relations between behavior and environmental factors, and the utilization of contextual factors, motivating operations, antecedent stimuli, positive reinforcement, and other consequences to help people develop new behaviors, increase or decrease existing behaviors, and engage in behaviors under specific environmental conditions; and

(iii) application of adaptive behavior treatment by protocol, group adaptive behavior treatment by protocol, adaptive behavior treatment by protocol modification, or family adaptive behavior treatment guidance;

(B) does not include
(i) psychological testing;

(ii) diagnosis of a mental or behavioral disorder; or

(iii) the practice of neuropsychology, psychotherapy, cognitive therapy, sex therapy, psychoanalysis, hypnotherapy, or long-term counseling;

(29) "family adaptive behavior treatment guidance" means guidance provided to the family by a licensed behavior analyst, a licensed assistant behavior analyst, or an autism behavior technician, with or without the recipient present, that identifies recipient problem behaviors and deficits and teaches guardians and caregivers to use treatment protocols in order to support the services provided to the recipient by a behavior analyst, assistant behavior analyst, or autism behavior technician;

(30) "group adaptive behavior treatment by protocol" means adaptive behavior treatment by protocol provided in a group of at least two recipients and not more than eight recipients;

(31) "recipient's immediate family member" means

(A) a recipient's parent, spouse, or sibling living in the same residence as the recipient; or

(B) an adult relative or nonrelative caregiver who is acting in the place of a parent

(32) "licensed mental health professional" means

(A) a psychiatrist or physician who is licensed by the State Medical Board to practice in this state or is employed by the federal government;

(B) a clinical psychologist licensed by the Board of Psychologist and Psychological Associate Examiners;

(C) a psychological associate trained in clinical psychology and licensed by the Board of Psychologist and Psychological Associate Examiners;

(D) an advanced practice registered nurse or a registered nurse with a master's degree in psychiatric nursing, licensed by the Board of Nursing;

(E) a marital and family therapist licensed by the Board of Marital and Family Therapy;

(F) a professional counselor licensed by the Board of Professional Counselors;

(G) a clinical social worker licensed by the Board of Social Work Examiners;

(33) "withdrawal management" means the process to safely and effectively provide the immediate physiological stabilization and treatment of a recipient who is intoxicated, incapacitated, or experiencing withdrawal from a specific psychoactive substance;

(34) "withdrawal management services" means those services under 7 AAC 135.190 provided by a community behavioral health services provider.

(35) "experiencing homelessness" means an individual who is in a state of being "homeless," as defined in 42 U.S.C. 11302(a).

Authority:AS 47.05.010

AS 47.07.030

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