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TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 354MEDICAID HEALTH SERVICES
SUBCHAPTER MMENTAL HEALTH TARGETED CASE MANAGEMENT AND MENTAL HEALTH REHABILITATION
DIVISION 1GENERAL PROVISIONS
RULE §354.2603Definitions

functioning.

  (38) QMHP-CS--Qualified Mental Health Professional-Community Services. Staff who meet the credentialing requirements in §353.1415(a) of this title.

  (39) Recovery--A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.

  (40) Recovery or treatment plan (recovery/treatment plan)--A written plan that:

    (A) is developed with the individual, the LAR if required, other persons whose inclusion is requested by the individual or LAR and who agree to participate, and a QMHP-CS or LPHA;

    (B) is completed in conjunction with the uniform assessment;

    (C) amended at any time based on an individual's needs;

    (D) guides the recovery process and fosters resiliency;

    (E) identifies the individual's changing strengths, capacities, goals, preferences, needs, and desired outcomes; and

    (F) identifies services and supports to meet the individual's goals, preferences, needs and desired outcomes.

  (41) Recovery or treatment planning (recovery/treatment planning)--A systematic process for engaging the individual, LAR, and the primary caregiver and others to develop goals and identify a course of action to respond to the individual's clinically assessed needs, including medical, social, educational, and other services needed by the individual.

  (42) Referral and linkage--Activities that help link an individual with medical, social, educational, and other providers that are capable of providing needed services.

  (43) Routine care services--Mental health services provided to an individual who is not in crisis.

  (44) Service provider--An entity separate from the comprehensive provider agency which may also provide services to an individual outside of the services performed under this subchapter.

  (45) Staff member--Comprehensive provider agency personnel, including a full-time or part-time employee, contractor, or intern, but excluding a volunteer.

  (46) Strengths-based--The concept used in service delivery that identifies, builds on, and enhances the capabilities, knowledge, skills, and assets of the individual, LAR, or primary caregiver, and family, their community, and other team members. The focus is on increasing functional strengths and assets rather than on the elimination of deficits.

  (47) Telehealth service--Has the meaning assigned by Texas Occupations Code §111.001(3).

  (48) Telemedicine medical service--Has the meaning assigned by Texas Occupations Code §111.001(4).

  (49) Therapeutic team--A group of staff members who work together in a coordinated manner for the purpose of providing comprehensive mental health services to an individual.

  (50) UA--Uniform assessment. A required assessment that assists in determining the medical necessity of services. For adults, the UA includes the Adult Needs and Strengths Assessment (ANSA), community data, relevant rating scales, diagnostic information, and any other state-required assessment tools and procedures. For children or youth, the UA includes the Child and Adolescent Needs and Strengths (CANS) assessment, community data, relevant rating scales, diagnostic information, and any other state-required assessment tools and processes.

  (51) Utilization management guidelines--Guidelines developed by HHSC that establish the type, amount, and duration of mental health targeted case management services and mental health rehabilitative services for each individual.

  (52) Wraparound Process Planning--A strengths-based approach used in intensive case management to develop an intensive case management plan that addresses the child's or youth's unmet needs across life domains.


Source Note: The provisions of this §354.2603 adopted to be effective October 17, 2018, 43 TexReg 6819; amended to be effective January 23, 2023, 48 TexReg 209

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