Subsection 144-101-II-89.02 - DEFINITIONS89.02-1American Society of Addiction Medicine (ASAM ) Criteria Level of care criteria that establish what services are medically necessary for a member.89.02-2Authorized Entity is an organization authorized by the Department of Health and Human Services (DHHS) to perform specified functions pursuant to a signed contract or other approved signed agreement.89.02-3Behavioral and Physical Health Integration is the care a member experiences as a result of a team of primary care and behavioral health providers, working together with members and families, using a systematic and cost-effective approach to provide patient-centered care for a defined population (based on the definition of "Integrated Behavioral Health Care" from the Agency for Healthcare Research and Quality).89.02-4Care Plan is a patient-centered plan that describes, coordinates, and integrates a member's clinical information, to include all clinical and non-clinical health care-related needs and services.89.02-5Community Health Worker (CHW) is a trained health worker who has completed a training program with a curriculum approved by the Department, or their designee, that includes both relevant CHW core competencies and training specific to OUD treatment and recovery; or holds a Maine CHW certification or registration (effective the date such a designation becomes active in the State of Maine). CHWs apply their unique understanding of the community's experience, socio-economic needs, language and/or culture to advocate for individual and community needs and acts as a bridge between providers and individuals to promote health, reduce disparities, and improve service delivery. CHWs are distinguished from other health professionals in that they are hired primarily for their understanding of the populations and communities they serve, conduct outreach a significant portion of the time, and have experience providing services in community settings.89.02-6Co-occurring Capable Providers are organized to welcome, identify, engage, and serve members with co-occurring mental health and Substance Use Disorders (SUDs), and to incorporate attention to these issues into all aspects of co-occurring services including linkage with other providers, staff competency and training.89.02-7Diagnostic and Statistical Manual of Mental Health Disorders (DSM) is the most current version published by the American Psychiatric Association. The DSM is used to classify mental health diagnoses and provide standard categories for definition of mental health disorders.89.02-8Eat, Sleep, Console (ESC) is an Evidence-Based Practice of care using a non-pharmacological care model and treatment of Neonatal Opioid Withdrawal Syndrome (NOWS) for newborn infants in the hospital setting. ESC focuses on keeping parent and infant together, monitoring feeding, sleeping, and ability to be consoled as measures of infant functioning.89.02-9Electronic Health Record (EHR) is a systematic collection of electronic health information about individual MaineCare members. It is a record in digital format that is capable of being shared across different health care settings by a Department-designated Health Information Exchange(s) (HIE), a Department-designated network connected enterprise-wide information system(s), and other information networks or exchanges. An EHR supports clinical EHR functions, such as intake, clinical care, task management, and case management where appropriate, and has Health Level Seven (HL7) interoperability capabilities to support the electronic sharing of portions of the patient's record.89.02-10Intrapartum Care are the health services provided to members and their infant(s) during labor and delivery, including vaginal delivery and cesarean section.89.02-11Opioid Use Disorder (OUD) means SUD, Opioid, defined by the DSM.89.02-12Perinatal Careare the health services provided to a member and their infant(s) during the perinatal period, which begins at conception and extends through twelve (12) months following the end of pregnancy, and includes Prenatal, Intrapartum and Postpartum Care.89.02-13Plan of Safe Care is a written document, prepared by health care or community providers in consultation with the parents of substance exposed infants in accordance with 22 M.R.S. §4004-B(5).89.02-14Postpartum Care are the health services provided to a member following the end of pregnancy, including but not limited to routine Postpartum Care and family planning education.89.02-15Prenatal Care are the health services provided to a member during pregnancy including physical examinations, recording of weight, blood pressure, fetal heart tones, maternity counseling, etc. C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-89, subsec. 144-101-II-89.02