Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 421.000 - Family Planning Agency Services
Section 421.402 - Definitions

The following terms used in 130 CMR 421.000 have the meanings given in 130 CMR 421.402 unless the context clearly requires a different meaning. The reimbursability of services defined in 130 CMR 421.000 is not determined by these definitions, but by application of regulations elsewhere in 130 CMR 421.000 and 450.000: Administrative and Billing Regulations.

Annual Visit - a yearly visit during which comprehensive services, including medical, laboratory, and counseling services are provided.

HIV Pre- and Post-test Counseling Visit - a face-to-face meeting between the member and a counselor for the purpose of providing counseling before and after HIV testing. Such counseling includes information about the implications of positive and negative test results, risk-reduction techniques, partner notification, and referral to medical and support services, in accordance with established protocols of the Massachusetts Department of Public Health.

Initial Visit - a member's first visit during which comprehensive services, including medical, laboratory, and counseling services are provided.

Institutionalized Individual - an individual who is

(1) involuntarily confined or detained, under a civil or criminal statute in a correctional or rehabilitative facility, including a psychiatric hospital or other facility for the care and treatment of mental illness; or

(2) confined, under a voluntary commitment, in a psychiatric hospital or other facility for the care and treatment of mental illness.

Mentally Incompetent Individual - an individual who has been declared mentally incompetent by a federal, state, or local court of competent jurisdiction for any purpose, unless the individual has been declared competent for purposes that include the ability to consent to sterilization.

Minimal Visit - a brief visit during which a family planning agency provides counseling services only or brief medical and counseling services.

Routine Visit - a return visit, follow-up visit, or other visit that is neither an annual nor an initial visit.

Sterilization - any medical procedure, treatment, or operation for the purpose of rendering an individual permanently incapable of reproducing.