Division of Behavioral Health Services
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BHS Definitions List (revised 07/14/14)
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A person who is eligible for QMB benefits as well as Title XIX services. QMB duals are entitled to Title XIX services and Medicare Part A and Part B services.
Means a behavioral health professional who is licensed or certified under A.R.S. Title 32, or a behavioral health technician who is supervised by a licensed or certified behavioral health professional.
A T/RBHA or provider employee who has received a spoken and/or written language evaluation from a language testing agency recommended by ADHS/DBHS. If a language evaluation is not available for a particular tribal language, the evaluation must be conducted by the TRBHA using a process approved by ADHS/DBHS. Sign language interpreters must be licensed according to A.R.S. § 36-1946 and A.A.C. R9 Chapter 26, Article 5. T/RBHAs are responsible for determining what level of written or oral language competency is required to perform clinical or administrative functions. Sign language, oral interpretation and translation services must be provided by a T/RBHA or provider employee who is proficient and skilled in translating and interpreting language(s).
Qualified Service Organization
(42 CFR Part 2) A person or organization that provides services to a program, such as data processing, bill collecting, dosage preparation, laboratory analyses, or legal, medical, accounting, or other professional services, or services to prevent or treat child abuse or neglect, including training on nutrition and child care and individual and group therapy. The person or organization has entered into a written agreement with a program providing drug or alcohol referral, diagnosis or treatment under which the person or organization acknowledges that in receiving, storing, processing or otherwise dealing with any records concerning enrolled persons, it is fully bound by these regulations and, if necessary, will resist in judicial proceedings any efforts to obtain access to records of enrolled persons except as permitted by these regulations.
Quality of Care Concern (QOC)
An allegation that any aspect of care, or treatment, or utilization of behavioral health services caused or could have caused an acute medical/psychiatric condition or an exacerbation of a chronic medical/psychiatric condition and may ultimately cause the risk of harm to the behavioral health recipient.