Ala. Admin. Code r. 795-4-1-.02

Current through Register Vol. 43, No. 1, October 31, 2024

Section 795-4-1-.02 - Definitions

The following words and phrases when used in this chapter shall, for the purpose of this chapter, have meanings respectively ascribed to them in this section, except when the context otherwise requires:

(1)CRS. Children's Rehabilitation Service.

(2)Children with Special Health Care Needs. Children who have chronic physical or developmental conditions and who require health and related service of a type or amount beyond that required by children generally.

(3)Agency. CRS including local offices throughout the state.

(4)Staff. Nurses, social workers, physical therapists, occupational therapists, speech-language pathologists, audiologists and registered dietitian nutritionists; all licensed to practice in the State of Alabama. Additional staff are patient accounts managers and administrative support assistants._

(5)Client. An individual between birth and 21 years of age (with the exception of adults with hemophilia) who is receiving services through CRS.

(6)Advisory Committees.

(a)Medical Clinic Advisory Committee. Comprised of physicians who specialize in such areas as orthopedics, plastic surgery, pediatrics, neurosurgery, neurology, ophthalmology, otology, urology, surgery and other appropriate specialties. Members are CRS Clinic physicians and meet at least annually with staff to evaluate specific CRS medical clinics relative to the CRS medical program.

(b)State Parent Advisory Committee (SPAC). This committee is composed of the State Parent Consultant, Local Parent Consultants, and at least one other representative from each Local Parent Advisory Committee to make recommendations for the CRS program and bring concerns and suggestions from the Local Parent Advisory Committees.

(c)Local Parent Advisory Committees (LPAC). Each LPAC is composed of a CRS Parent Consultant and parents and/or guardians of children served by CRS and other families. LPAC representatives attend the SPAC.

(d)Youth Advisory Committee (YAC). Provides youth with the opportunity to inform CRS of the needs of youth with special health care needs through collaboration with a Youth Consultant.

(7)Clinic. An outpatient facility located at each CRS office to serve clients face-to-face through a multidisciplinary medical team. Diagnostic, medical, support and patient education-services are provided to clients and their families. Clinics may also be held within the community at other locations and/or via Tele-Health.

(8)Vendor. A business, private individual practice, medical organization, or similar group providing services recommended through the CRS program to clients/families at mutually agreed rates.

(9)Purchased Services. CRS may authorize and pay for the purchase of items such as equipment, medication, allied health services including approved therapies, and other products as identified in a participant's plan of care and prescribed out of CRS clinics. CRS is the payor of last resort, unless application of this policy results in higher costs to the program. Purchased services eligibility must be in keeping with this policy, which is after all other resources such as insurance and patient assistance programs have been utilized or exhausted. If a family becomes financially ineligible for purchased services while the client is in active treatment, special approval for continued treatment through CRS purchased services should be sought through state office and if approved, reviewed annually.

(10)Plan of Care (POC). A written, family-centered, comprehensive document developed in partnership with the client/family and providers for the purpose of identifying health/medical and social needs, goals, and planned activities to achieve desired outcomes.

Ala. Admin. Code r. 795-4-1-.02

Emergency adoption filed January 17, 1995; effective January 18, 1995. Permanent adoption filed April 13, 1995; effective May 18, 1995. Repealed and Replaced: Filed January 26, 1996; effective March 1, 1996.

Adopted by Alabama Administrative Monthly Volume XXXVII, Issue No. 09, June 28, 2019, eff. 8/1/2019.

Author: Alabama Board of Rehabilitation Services

Statutory Authority:Code of Ala. 1975, §§ 21-9-1 through 21-9-13, 21-3-1 through 21-3-8 and 16-38-1 through 16-38-9.