New York Codes, Rules and Regulations
Title 14 - DEPARTMENT OF MENTAL HYGIENE
Chapter XIII - Office of Mental Health
Part 506 - Medical Assistance Rates Of Payment For Intensive Case Management Services (icm), Supportive Case Management (scm) And Blended Icm/scm Case Management Services
Section 506.4 - Definitions pertaining to this part
Universal Citation: 14 NY Comp Codes Rules and Regs ยง 506.4
Current through Register Vol. 46, No. 39, September 25, 2024
For the purposes of this Part:
(a) Client related definitions.
(1) Active client shall mean an enrolled
client who receives four or more face-to-face contacts with an intensive case
manager within one month or two or more face-to-face contacts with a supportive
case manager within one month, except as otherwise provided in sections
506.5(b),
(f),
506.6(d)
and
506.7(c),
(f) of this Part.
(2) Collaterals means persons who are:
(i) members of a child's or adolescent's
family or household, or significant others who regularly interact with the
child or adolescent and are directly affected by or have the capability of
affecting his or her condition; and
(ii) are identified in the treatment or
psychiatric rehabilitation service plan as having a role in treatment and/or
identified in the preadmission notes as being necessary for participation in
the evaluation and assessment of the child or adolescent prior to
admission.
(3) Enrolled
client shall mean a person scheduled to receive intensive case management,
supportive case management or blended ICM/SCM case management services from a
designated provider of services and a designated intensive case manager or
supportive case manager.
(4)
Intensive case management recipients shall mean persons with a serious mental
illness that is marked by impairment in self care, social functioning,
activities of daily living, economic self sufficiency, self direction and
concentration and which interferes with the ability to function independently,
appropriately and effectively. Such recipients are identifiable within four
subpopulations of persons with serious mental illness as follows:
(i) high-needs persons; and
(ii) extended care state psychiatric center
patients; and
(iii) homeless
persons; and
(iv) seriously and
emotionally disturbed children and adolescents.
(b) Reimbursement related definitions.
(1) Blended ICM/SCM program shall mean a
program that provides case management services to persons with a serious mental
illness and which allows case managers to deliver services through a team
approach and shared caseloads.
(2)
Client month shall mean a calendar month in which an enrolled client or
appropriate collateral receives the required number of face- to-face contacts
with a case manager.
(3)
Commissioner shall mean the Commissioner of Mental Health.
(4) Intensive case management program means
services provided by a designated intensive case manager to promote managed
care by coordinating all aspects of services needed by persons with a serious
mental illness and enrolled for such services with a provider of services, for
as long as necessary.
(5) Provider
of services means the organization which is legally responsible for the
operation of a program. The organization may be an individual, partnership,
association, corporation, public agency or a psychiatric center or institute
operated by the Office of Mental Health.
(6) Shared case management staff means staff
which are employed under the auspice of the Office of Mental Health while
assigned to other than a State-operated psychiatric center.
(7) Supportive case management program (SCM)
means a variant of the intensive case management program which provides
services to individuals who require less support than ICM clients.
Disclaimer: These regulations may not be the most recent version. New York may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.