New York Codes, Rules and Regulations
Title 14 - DEPARTMENT OF MENTAL HYGIENE
Chapter XIII - Office of Mental Health
Part 508 - Medical Assistance Rates Of Payment For Assertive Community Treatment Services
Section 508.4 - Definitions

(a) Active client in assertive community treatment means an individual who:

(b) Adult means an individual 18 years old and over.

(c) Child means an individual up to 21 years of age. Individuals ages 18-21years with mental illness may be considered for either Youth ACT or Adult ACT programs for the purposes of receiving services.

(d) Child Family Treatment and Support services means an array of six treatment, rehabilitative and support services to assist children and youth with mental health and/or behavioral challenges to function successfully within their homes and community, primarily provided in nontraditional settings including in the home or community settings.

(e) Children's Home and Community (HCBS) based services means services provided to individuals in the least restrictive environment possible by providing services and support to children and their families at home and in the community. HCBS are designed for people who, but for these services, would require an institutional level of care such as a long-term care facility or psychiatric inpatient care.

(f) Assertive community treatment (ACT) program means a comprehensive program of ACT treatment services established by the office to serve identified clients with serious mental illness or serious emotional disturbance who require intensive services in order to remain in the community.

(g) Assertive community treatment (ACT) services means a comprehensive and integrated combination of treatment, rehabilitation, case management, and support services primarily provided in the client's residence or other community locations by a mobile multi-disciplinary mental health treatment team.

(h) Collaterals means

A contact that shall occur with the recipient's family, and others significant in their life, that provide a direct benefit to the recipient and is conducted in accordance with, and for the purpose of, advancing the recipient's Service Plan; and for coordination of services with other educational, community service providers and medical providers.

(i) Commissioner means the Commissioner of Mental Health.

(j) Concurrent Review means the review of the clinical necessity for continued inpatient behavioral health services, resulting in a non-binding recommendation regarding the need for such continued inpatient services.

(k) Contact means a face-to-face interaction of at least 15 minutes duration where at least one ACT service is provided between an ACT team staff member and a client or collateral.

(l) Family means those members of the recipient's natural family, family of choice, or household who interact with the recipient and are directly affected by, or have the capability of affecting, the recipient's condition.

(m) Month means any time between and including the first and last days of any calendar month in a given year.

(n) Office means the Office of Mental Health.

(o) PROS services means personalized recovery oriented services provided pursuant to Part 512 of this Title.

(p) Provider of services means an individual, partnership, association, corporation, public agency, or a psychiatric center or institute licensed by the office which is legally responsible for the operation of an ACT program.

(q) Single point of access (SPOA) is an entity in each county that manages referrals to the ACT Program.