Division of Behavioral Health Services
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BHS Definitions List (revised 10/01/14)
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A list of medications that are made available by individual T/RBHAs for Title XIX/XXI eligible persons. The list must encompass all medications included on the ADHS/DBHS Title XIX/XXI Medication Formulary.
A group of individuals working in collaboration who are actively involved in a person's assessment, service planning and service delivery. At a minimum, the team consists of the person, family members as appropriate in the case of children and a qualified behavioral health clinician. As applicable, the team would also include representatives from other state agencies, clergy, other relevant practitioners involved with the person and any other individuals requested by the person.
Team Decision Making (TDM)
A Division of Child Safety (DCS) meeting process that includes family members, their extended family or other support persons, foster parents (if the child is in placement), child (12 years of age or older) service providers, other community representatives, the caseworker of record, the supervisor and, often, resource staff from DCS. The meeting is a sharing of all information about the family which relates to the protection of the children and functioning of the family. The goal is to reach consensus on a decision regarding placement and to make a plan which protects the children and preserves or reunifies the family. TDM meetings should be held for ALL placement related decisions, for all families served by DCS.
Any device or apparatus which is designed or manufactured to reduce the severity of behavioral health diagnoses symptoms recognized by DSM-IV-TR and/or the ICD 9. Technology for the purposes of this policy does not include medications which are reviewed within the purview of the Pharmacy and Therapeutics committee.
The practice of healthcare delivery, diagnosis, consultation, treatment and transfer of medical data through interactive, audio, video or data communications that occur in the physical presence of the patient, including audio or video communications sent to a health care provider for diagnostic or treatment consultation.
The process of granting temporary or provisional credentials when it is in the best interest of members that providers be available to provide care prior to completion of the entire credentialing process. This process is applied in medically underserved areas, whether rural or urban. Temporary/provisional credentialing is granted in accordance with initial credentialing requirements and within 14 calendar days from receipt of a complete application.
A scattered-site program in which the tenant holds the lease and is directly responsible to the owner of the property. This program is comparable to the HUD Section 8 Housing Choice Voucher Program, but with modifications to meet the needs of adults determined to have a Serious Mental Illness.
Termination of Service
A decision to stop providing a covered behavioral health service.
Third Party Liability
Payment sources available to pay all or a portion of the cost of services incurred by a person.
Tier I Rehabilitation and Support Services
Services provided by direct service staff members meeting the qualifications of a behavioral health paraprofessional, behavioral health technician or behavioral health professional, including the following: Personal Care, Self-help/Peer Services/Comprehensive Community Support Services (Peer Support), Psychoeducational Services and Support to Maintain Employment services.
Tier II Rehabilitation and Support Services
Services provided by direct service staff members meeting the qualifications of a behavioral health technician or behavioral health professional, including the following: Behavioral Health Prevention/Promotion Education, Skills Training, Home Care Training Family, Comprehensive Community Support Services (Supervised Day Program) and Supervised Behavioral Health Day Treatment services.
Title 14 Guardian
Means any person or agency who has been appointed by a Court to have specific powers, rights, and duties with respect to matters involving the "incapacitated person."
Title 14 Guardian with Mental Health Powers (T-14+)
Means any person or agency who has been appointed by a Court to have specific additional mental health powers with respect to matters involving the "incapacitated person" when the ward has been determined to be incapacitated due to a mental disorder.
Means Title XIX of the Social Security Act, as amended. Is an entitlement program under which the federal government makes matching funds available to states for health and long term care services for eligible low-income individual. This is the Federal statute authorizing Medicaid which is administered by AHCCCS.
Title XIX Covered Services
Means those covered services identified in the ADHS/DBHS Covered Behavioral Health Services Guide as being Title XIX reimbursable.
Title XIX Eligible Person
Means an individual who meets Federal and State requirements for Title XIX eligibility.
Title XIX Member
Means an AHCCCS member eligible for federally funded Medicaid programs under Title XIX of the Social Security Act including those eligible under Section 1931 provisions of the Social Security Act (previously AFDC), Sixth Omnibus Budget Reconciliation Act (SOBRA), Supplemental Security Income (SSI), SSI-related groups, and Title XIX Waiver Groups, Medicare Cost Sharing groups, Breast and Cervical Cancer Treatment program and Freedom to Work.
Title XIX Waiver Member
Means all AHCCCS Medical Expense Deduction (MED) members, and adults or childless couples at or below 100% of the Federal Poverty Level who are not categorically linked to another Title XIX program. This would also include Title XIX linked individuals whose income exceeds the limits of the categorical program and are eligible for MED.
Title XIX Waiver Group (TWG)
Referred to as the "AHCCCS Expansion Population," this group consists of individuals in the AHCCCS Care Program (childless adults) and individuals who qualify for the Medical Expense Deduction (MED) program.
Title XXI Member
Means a person eligible for acute care services under Title XXI known as the "State Children's Health Insurance Program" (SCHIP), Title XXI of the Social Security Act provides funds to states to enable them to initiate and expand the provision of child health assistance to uninsured, low income children in an effective and efficient manner that is coordinated with other sources of child health benefits coverage, The Arizona version of the SCHIP is referred to as Kids Care.
The closure of a person's record by the home T/RBHA and simultaneous enrollment of the person by a different T/RBHA.
Housing services that facilitate the movement of homeless individuals and families to permanent housing. A homeless individual may stay in transitional housing for a period not to exceed 24 months.
Transitional Medical Assistance (TMA)
An AHCCCS program for Families with Children participants who become ineligible due to excess earned income. Families may be eligible to receive Transitional Medical Assistance (TMA) for up to twelve months.
The conversion of written text from a source language into the target language while maintaining the author's intent.
The provision, coordination, or management of health care and related services by one or more health care providers, including the coordination or management of health care by a health care provider with a third party; consultation between health care providers relating to a patient; or the referral of a patient for health care from one health care provider to another. (45 C.F.R. 164.501)
Treatment (Policy 114)
The range of behavioral health care received by a behavioral health recipient that is consistent with the therapeutic goals defined in their ISP.
Tribal/ Regional Behavioral Health Authorities (T/RBHA)
A reference to both Regional Behavioral Health Authorities and Tribal Regional Behavioral Health Authorities.
A licensed psychiatrist, psychologist, or nurse practitioner designated by the T/RBHA for evaluation, record review and final determination of Serious Mental Illness.
A list of medications that are made available by individual T/RBHAs for Title XIX/XXI eligible persons. The list must encompass all medications included on the ADHS/DBHS Behavioral Health Drug List.
Tribal Regional Behavioral Health Authority (RBHA)
A Native American Indian tribe under Contract with ADHS to coordinate the delivery of behavioral health services to eligible and enrolled persons who are residents of the Federally recognized Tribal Nation that is the party to the Contract.
Tribal sovereignty in the United States
The inherent authority of indigenous tribes to govern themselves within the borders of the United States of America. The US federal government recognizes tribal nations as "domestic dependent nations" and has established a number of laws attempting to clarify the relationship between the United States federal and state governments and the tribal nations. The Constitution and later federal laws grant to tribal nations more sovereignty than is granted to states or other local jurisdictions, yet do not grant full sovereignty equivalent to foreign nations, hence the term "domestic dependent nations".