Code of Massachusetts Regulations
101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES
Title 101 CMR 430.00 - Rates for Program of Assertive Community Treatment Services
Section 430.02 - Definitions

As used in 101 CMR 430.00, unless the context requires otherwise, terms have the meanings in 101 CMR 430.02.

Client. An individual who receives certain Program of Assertive Community Treatment services purchased by a governmental unit.

Cost Report. The document used to report costs and other financial and statistical data. The Uniform Financial Statements and Independent Auditor's Report (UFR) is used when required.

EOHHS. The Executive Office of Health and Human Services established under M.G.L. c. 6A.

Extraordinary Circumstances/Flex Funding. A method whereby, subject to availability, a purchasing governmental unit may provide resource allocations to a client and/or provider across the state. Flexible funding may be provided through a number of means including, but not limited to, reimbursement to client for specific support services or funds directed to a qualified provider for extraordinary circumstances.

Forensic Group Living Environment (GLE). A five-bed group living environment (GLE) with 24/7 staffing coverage. Persons served are admitted into the GLE only with DMH approval. It is expected that individuals who are referred to the GLE will be determined to need more intensive rehabilitation, and additional structure and supports. The GLE must be licensed by DMH in accordance with 104 CMR 28.15: General Provisions.

Forensic Program of Assertive Community Treatment (PACT). The Forensic PACT is a comprehensive service model designed to have special capabilities to serve individuals with serious and persistent mental illness who have current criminal justice involvement or a history of repetitive criminal justice involvement; may benefit from intensive coordinated services; and have not responded well to program or office-based interventions. Forensic PACT has a multidisciplinary team approach to providing active, ongoing, comprehensive, integrated community-based services. These services are designed to be responsive to changing needs and are typically long term. Services include outreach, engagement, rehabilitation, clinical, health-related as well as recovery-based interventions and support. Services are individually directed and the team is the single point of accountability for all services required by DMH. Forensic PACT is a recovery-oriented service with the goal of facilitating each individual's recovery journey.

Governmental Unit. The Commonwealth, any board, commission, department, division, or agency of the Commonwealth and any political subdivision of the Commonwealth.

Individual Consideration (I.C.). Payment rates for certain services are designated as individual consideration (I.C.). Where I.C. rates are designated, the purchasing governmental unit will determine the appropriate payment as the actual cost of the item or service as evidenced by invoice, published tuition amount, or other price reasonably obtained by a competitive market for the product or service.

Program of Assertive Community Treatment (PACT). A comprehensive service model for individuals with serious mental illness who may benefit from intensive coordinated services and have not responded well to program or office-based interventions. It has a multidisciplinary team approach to providing active, ongoing, comprehensive, integrated community-based services. These services are designed to be responsive to changing needs and are typically long term. Services include outreach, engagement, rehabilitation, clinical, health-related as well as recovery-based interventions and support. The PACT model is an evidence-based practice referred to by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the National Alliance on Mental Illness (NAMI) as an Assertive Community Treatment (ACT) program.

Provider. Any individual, group, partnership, trust, corporation, or other legal entity that offers services for purchase by a governmental unit and that meets the conditions of purchase or licensure that have been or may be contracted by a purchasing governmental unit.

Reporting Year. The provider's fiscal year for which costs incurred are reported to the Operational Services Division on the Uniform Financial Statements and Independent Auditor's Report (UFR).