The following words and terms, when used in this subchapter,
have the following meanings, unless the context clearly indicates
otherwise:
(1) Acquired brain injury--A neurological insult to
the brain that is not hereditary, congenital, or degenerative. The
injury to the brain has occurred after birth and results in a change
in neuronal activity, which results in an impairment of physical functioning,
sensory processing, cognition, or psychosocial behavior.
(2) Cognitive communication therapy--Services designed
to address modalities of comprehension and expression, including understanding,
reading, writing, and verbal expression of information.
(3) Cognitive rehabilitation therapy--Services designed
to address therapeutic cognitive activities, based on an assessment
and understanding of the individual's brain-behavioral deficits.
(4) Community reintegration services--Services that
facilitate the continuum of care as an affected individual transitions
into the community.
(5) Enrollee--A person covered by a health benefit
plan.
(6) Health benefit plan--As described in Insurance
Code §1352.001 and §1352.002.
(7) Issuer--Those entities identified in Insurance
Code §1352.001.
(8) Neurobehavioral testing--An evaluation of the history
of neurological and psychiatric difficulty, current symptoms, current
mental status, and premorbid history, including the identification
of problematic behavior and the relationship between behavior and
the variables that control behavior. This may include interviews of
the individual, family, or others.
(9) Neurobehavioral treatment--Interventions that focus
on behavior and the variables that control behavior.
(10) Neurocognitive rehabilitation--Services designed
to assist cognitively impaired individuals to compensate for deficits
in cognitive functioning by rebuilding cognitive skills and/or developing
compensatory strategies and techniques.
(11) Neurocognitive therapy--Services designed to address
neurological deficits in informational processing and to facilitate
the development of higher level cognitive abilities.
(12) Neurofeedback therapy--Services that utilize operant
conditioning learning procedures based on electroencephalography (EEG)
parameters, and are designed to result in improved mental performance
and behavior, and stabilized mood.
(13) Neurophysiological testing--An evaluation of the
functions of the nervous system.
(14) Neurophysiological treatment--Interventions that
focus on the functions of the nervous system.
(15) Neuropsychological testing--The administering
of a comprehensive battery of tests to evaluate neurocognitive, behavioral,
and emotional strengths and weaknesses and their relationship to normal
and abnormal central nervous system functioning.
(16) Neuropsychological treatment--Interventions designed
to improve or minimize deficits in behavioral and cognitive processes.
(17) Outpatient day treatment services--Structured
services provided to address deficits in physiological, behavioral,
and/or cognitive functions. Such services may be delivered in settings
that include transitional residential, community integration, or nonresidential
treatment settings.
(18) Post-acute-care treatment services--Services provided
after acute-care confinement and/or treatment that are based on an
assessment of the individual's physical, behavioral, or cognitive
functional deficits, which include a treatment goal of achieving functional
changes by reinforcing, strengthening, or reestablishing previously
learned patterns of behavior and/or establishing new patterns of cognitive
activity or compensatory mechanisms.
(19) Postacute transition services--Services that facilitate
the continuum of care beyond the initial neurological insult through
rehabilitation and community reintegration.
(20) Psychophysiological testing--An evaluation of
the interrelationships between the nervous system and other bodily
organs and behavior.
(21) Psychophysiological treatment--Interventions designed
to alleviate or decrease abnormal physiological responses of the nervous
system due to behavioral or emotional factors.
(22) Remediation--The process or processes of restoring
or improving a specific function.
(23) Services--The work of testing, treatment, and
providing therapies to an individual with an acquired brain injury.
(24) Therapy--The scheduled remedial treatment provided
through direct interaction with the individual to improve a pathological
condition resulting from an acquired brain injury.
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| Source Note: The provisions of this §21.3102 adopted to be effective August 26, 2002, 27 TexReg 7814; amended to be effective February 23, 2009, 34 TexReg 1247; amended to be effective June 7, 2015, 40 TexReg 3179 |
