North Dakota Administrative Code
Title 75 - Department of Human Services
Article 75-03 - Community Services
Chapter 75-03-20 - Ratesetting for Residential Treatment Centers for Children
Section 75-03-20-01 - Definitions
1. "Accrual basis" means the recording of revenue in the period when it is earned, regardless of when it is collected, and the recording of expenses in the period when incurred, regardless of when they are paid.
2. "Addiction evaluation" means an assessment by an addiction counselor to determine the nature or extent of possible alcohol abuse, drug abuse, or chemical dependency.
3. "Adjustment factors" means indices used to adjust reported costs for inflation or deflation based on economic forecasts for the rate year.
4. "Administration" means the cost of activities performed by the center staff in which the direct recipient of the activity is the organization itself. These include, but are not limited to, fiscal activities, statistical reporting, recruiting, and general office management which are indirectly related to reimbursable services provided.
5. "Allowable cost" means the center's actual and reasonable cost after adjustments required by department rules.
6. "Case management" means services which may assist individuals to gain access to needed medical, social, educational, and other services. Case management includes case-related paper work, contacts with significant others and agencies, phone contacts, case-related travel, and consultation with other staff, supervisors, and peers.
7. "Center" means the residential treatment center for children.
8. "Client day" means a day for which service is provided or for which payment is ordinarily sought and includes in-house, trial placement, approved leave, or hospital days.
9. "Clinical consultation" means services provided by psychiatrists, clinical psychologist, psychiatric nurses, social workers, addiction counselors, occupational therapists, and other mental health professionals to center staff to develop or increase their skills in providing mental health services.
10. "Cost category" means the classification or grouping of similar or related costs for purposes of reporting and the determination of cost limitations and rates. For the purposes of this chapter, the cost categories of administration, education, maintenance, and rehabilitation will be used.
11. "Cost report" means the department-approved form for reporting costs, statistical data, and other relevant information to the department.
12. "Department" means the department of human services.
13. "Depreciation" means an allocation of the cost of an asset over its estimated useful life.
14. "Education" means the cost of activities related to academic and vocational training generally provided by a school district.
15. "Family counseling or therapy" means treatment in which a counselor or a therapist works with various combinations of family members.
16. "Final rate" means the rate established after any adjustments by the department, including, but not limited to, adjustments resulting from cost report reviews and audits.
17. "Fringe benefits" means workers compensation insurance, group health, dental or vision insurance, group life insurance, payment towards retirement plans, accrued compensation for absences, uniform allowances, employer's share of Federal Insurance Contributions Act and unemployment compensation taxes.
18. "Group counseling" or "group therapy" means a form of treatment in which a group of clients, with similar problems, meet with a counselor or a therapist to discuss difficulties, provide support for each other, gain insight into problems, and develop better methods of meeting their problems.
19. "Individual counseling" or individual therapy" means a form of treatment in which a counselor or therapist works with a client on an individual basis.
20. "Interest" means cost incurred for the use of borrowed funds.
21. "Maintenance" means room and board and includes all costs associated with the preparation and serving of food, the provision of shelter and the maintenance thereof, including depreciation and interest or lease payments, and operating expenses of a vehicle used for transportation of clients.
22. "Medication review" means prescription monitoring and consultation to a client regarding the client's use of medication performed by a psychiatrist or a physician, or a registered nurse or a licensed practical nurse under the medical direction and supervision of a psychiatrist or physician.
23. "Other clinical evaluation" means the evaluation of the client's environmental and personal situation. This includes, but is not limited to, developmental, social, and independent living evaluations.
24. "Partial care" means center or community-based rehabilitative services provided to mentally ill persons to maintain and promote social, emotional, and physical well-being through opportunities for socialization, therapy, work participation, education, and other self-enhancement activities.
25. "Plant operations costs" means the costs for repairing and maintaining the physical plant of the center. These costs include utilities, repairs, and compensation for housekeepers, janitors, engineers, caretakers, and all personnel performing tasks related to repairing and maintaining the physical plant.
26. "Program consultation" means services provided to center staff for development of program design and planning for mental health services to the center.
27. "Property costs" means depreciation, interest on capital debt, property taxes, and rental expense.
28. "Psychiatric evaluation" means the assessment or evaluation of a client by a psychiatrist.
29. "Psychological evaluation" means the assessment or evaluation of a client by or under the supervision of a licensed psychologist.
30. "Rate year" means the twelve-month period beginning the seventh month after the end of a center's fiscal year.
31. "Reasonable cost" means the cost that must be incurred by an efficiently and economically operated center to provide services in conformity with applicable state and federal laws, rules, and quality and safety standards. Reasonable cost takes into account that the center seeks to minimize its costs and that its actual costs do not exceed what a prudent and cost-conscious buyer pays for a given item or services.
32. "Rehabilitation" means services provided for maximum reduction of physical or mental disability and restoration of a client to the best possible functional level. Services can include any medical or remedial service recommended by a physician or other licensed practitioner of the healing arts, within the scope of the practitioner's practice under state law.
33. "Related organization" means an organization which a center is, to a significant extent, associated with, affiliated with, able to control, or controlled by; and which furnishes services, facilities, or supplies to the center. Control exists where an individual or organization has the power, directly or indirectly, to significantly influence or direct the policies of an organization or center.
34. "Report year" means the center's fiscal year.
General Authority: NDCC 25-03.2-10, 50-06-16
Law Implemented: NDCC 25-03.2
