Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 411.000 - Psychologist Services
Section 411.402 - Definitions
Current through Register 1531, September 27, 2024
The following terms used in 130 CMR 411.000 have the meanings given in 130 CMR 411.402, unless the context clearly requires a different meaning.
Case Consultation - intervention, including scheduled audio-only telephonic, audio-video, or in person meetings, for behavioral and medical management purposes on a member's behalf with agencies, employers, or institutions which may include the preparation of reports of the member's psychiatric status, history, treatment, or progress (other than for legal purposes) for other physicians, agencies, or insurance carriers.
Child and Adolescent Needs and Strengths (CANS) - a tool that provides a standardized way to organize information gathered during behavioral-health clinical assessments. A Massachusetts version of the tool has been developed and is intended to be used as a treatment decision support tool for behavioral-health providers serving MassHealth members younger than 21 years old.
Couple Therapy - psychotherapeutic services provided to a couple whose primary complaint is the disruption of their marriage, family, or relationship.
Diagnostic Services Evaluation - the examination and determination by interview techniques of a member's physical, psychological, social, economic, educational, and vocational capabilities and disabilities for the purposes of developing a diagnostic formulation and designing a treatment plan.
Family Consultation - a scheduled meeting of at least one-half hour with one or more of the parents, legal guardian, or foster parents of a child who is being treated by the provider when the parents, legal guardian, or foster parents are not clients of the provider.
Family Therapy - the psychotherapeutic treatment of more than one member of a family simultaneously in the same session.
Group Therapy - the application of psychotherapeutic or counseling techniques to a group of persons, most of whom are not related by blood, marriage, or legal guardianship.
Individual Therapy - psychotherapeutic services provided to an individual.
Intelligence Assessment - a battery of tests to measure intelligence and cognitive ability, listed in the Mental Measurement Yearbook, or that conforms to the Standards for Educational and Psychological Tests of the American Psychological Association, such as a full Wechsler Adult Intelligence Scale, Wechsler Intelligence Scale for Children, or Stanford-Binet Intelligence Scales.
Neuropsychological Assessment - a battery of performance-based assessments provided by an eligible provider that assesses cognitive functioning, in order to examine the cognitive consequences of brain damage, brain disease, physical, and mental illness, and other conditions that may impact cognitive functioning. A neuropsychological assessment may include tests of intelligence, attention and concentration, learning and memory, processing speed, visual spatial perception, language skills, visual motor and fine motor skills, sensory perception, executive functioning, and emotional functioning.
Personality Assessment - a battery of techniques that yield an evaluation of personality, using at least two personality tests that are listed in the Mental Measurement Yearbook, or that conform to the Standards for Educational and Psychological Tests of the American Psychological Association, unless clinically contraindicated
Psychological Assessment - the use of standardized test instruments and procedures to evaluate aspects of a member's functioning. Psychological assessment includes intelligence, neuropsychological, and personality assessments. Test instruments used for psychological assessment must be published, valid, and in general use as defined by listing in the Mental Measurement Yearbook, or by conformity to the Standards for Educational and Psychological Testing of the American Psychological Association.
Psychotherapy - the use of psychological and interpersonal theories and related practice methodologies to assess, interpret and modify conscious and unconscious processes of behavior.
Telehealth - the use of synchronous or asynchronous audio, video, electronic media or other telecommunications technology, including, but not limited to:
(1) interactive audio-video technology;
(2) remote patient monitoring devices;
(3) audio-only telephone; and
(4) online adaptive interviews, for the purpose of evaluating, diagnosing, consulting, prescribing, treating or monitoring of a patient's physical health, oral health, mental health or substance use disorder condition.
Treatment Service - a service related to diminishing the distress and symptoms of mental health or substance use disorder, as defined by the Diagnostic and Statistical Manual of Mental Disorders including, but not limited to, individual, couple, family, and group psychotherapy.