| (B) authorized to perform medical acts under an institutional
permit at a Texas postgraduate training program approved by the Accreditation
Council for Graduate Medical Education, the American Osteopathic Association,
or the Texas Medical Board.
(45) Physician assistant--A staff member who has specialized
psychiatric/mental health training and who is licensed as a physician
assistant by the Texas State Board of Physician Assistant Examiners
in accordance with Texas Occupations Code, Chapter 204.
(46) Provider--Any person or legal entity that contracts
with the department, an LMHA, or an MCO to provide mental health community
services to individuals, including that part of an LMHA or MCO directly
providing mental health community services to individuals. The term
includes providers of mental health case management services and providers
of mental health rehabilitative services.
(47) Psychologist--A staff member who is licensed as
a psychologist by the Texas State Board of Examiners of Psychologists
in accordance with Texas Occupations Code, Chapter 501.
(48) QMHP-CS or qualified mental health professional-community
services--A staff member who is credentialed as a QMHP-CS who has
demonstrated and documented competency in the work to be performed
and:
(A) has a bachelor's degree from an accredited college
or university with a minimum number of hours that is equivalent to
a major (as determined by the LMHA or MCO in accordance with §412.316(d)
of this title (relating to Competency and Credentialing)) in psychology,
social work, medicine, nursing, rehabilitation, counseling, sociology,
human growth and development, physician assistant, gerontology, special
education, educational psychology, early childhood education, or early
childhood intervention;
(B) is a registered nurse (RN); or
(C) completes an alternative credentialing process
as determined by the LMHA or MCO in accordance with §412.316(c)
and (d) of this title relating to (Competency and Credentialing).
(49) Recovery--The process by which a person becomes
able or regains the ability to live, work, learn, and participate
fully in his or her community.
(50) Referral--The process of identifying appropriate
services and providing the information and assistance needed to access
them.
(51) RN or registered nurse--A staff member who is
licensed as a registered nurse by the Texas Board of Nursing in accordance
with Texas Occupations Code, Chapter 301.
(52) Restraint--The same meaning as defined in Chapter
415, Subchapter F of this title (relating to Interventions in Mental
Health Programs).
(53) Routine care services--Mental health community
services provided to an individual who is not in crisis.
(54) Safety monitoring--Ongoing observation of an individual
to ensure the individual's safety. An appropriate staff person must
be continuously present in the individual's immediate vicinity, provide
ongoing monitoring of the individual's mental and physical status,
and ensure rapid response to indications of a need for assistance
or intervention. Safety monitoring includes maintaining continuous
visual contact with frequent face-to-face contacts as needed.
(55) Screening Activities performed by a Qualified
Mental Health Professional--Community Services (QMHP-CS) to gather
triage information to determine the need for in-depth assessment.
The QMHP-CS collects this information through face-to-face or telephone
interviews with the individual or collateral. This service includes
screenings to determine if the individual's need is emergent, urgent,
or routine (which is conducted prior to the face-to-face assessment
to determine the need for emergency services).
(56) Seclusion--The same meaning as defined in Chapter
415, Subchapter F of this title.
(57) Staff member--Anyone who works or provides services
for an LMHA, MCO, or provider as an employee, contractor, intern,
or volunteer.
(58) Support services--Mental health community services
delivered to an individual, LAR, or family member(s) to assist the
individual in functioning in the individual's chosen living, learning,
working, and socializing environments.
(59) Telemedicine--The use of health care information
exchanged from one site to another via electronic communications for
the health and education of the individual or provider, and for the
purpose of improving patient care, treatment, and services. This definition
applies only for purposes of this subchapter and does not affect,
modify, or relate in any way to other rules defining the term or regulating
the service, or to any statutory definitions or requirements.
(60) Uniform assessment--An assessment tool developed
by the department that includes, but is not limited to, the Adult
Texas Recommended Assessment Guidelines (TRAG), the Children and Adolescent
Texas Recommended Assessment Guidelines, and the department-approved
algorithms.
(61) Urgent care services--Mental health community
services or other necessary interventions provided to persons in crisis
who do not need emergency care services, but who are potentially at
risk of serious deterioration.
(62) Utilization management exception--The authorization
of additional amounts of services based on medical necessity when
the individual has reached the maximum service units of their currently
authorized level of care (LOC).
(63) Utilization management guidelines--Guidelines
developed by the department that establish the type, amount, and duration
of mental health community services for each LOC.
(64) Volunteer--A person who receives no remuneration
for the provision of time, individual attention, or assistance to
individuals receiving mental health community services from entities
or providers governed by this subchapter. Volunteers may include:
(A) community members;
(B) family members of individuals served when not acting
in their capacity as a family member;
(C) employees when not acting in their capacity as
employees; and
(D) individuals served when acting on behalf of another
individual.
|
| Source Note: The provisions of this §301.303 adopted to be effective April 29, 2009, 34 TexReg 2603; amended to be effective February 19, 2017, 42 TexReg 561; transferred effective March 15, 2020, as published in the February 21, 2020 issue of the Texas Register, 45 TexReg 1237 |
