Current through 2024-51, December 18, 2024
Subsection 144-101-II-92.01 - DEFINITIONS92.01-1Behavioral Health Home Organization (BHHO) - A BHHO is a community-based mental health organization, that is licensed in the state of Maine, has been approved by MaineCare to provide Section 92 services for members (both adults and children) eligible for such services, and that satisfies the additional provider requirements and standards set forth herein. The BHHO is the lead Behavioral Health Home entity.92.01-2Electronic Health Record (EHR) - An 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 HL7 interoperability capabilities to support the electronic sharing of portions of the patient's record.92.01-3Health Home Practice (HHP) - A HHP is an enhanced primary care practice that has been approved by MaineCare to provide Section 92 services for members (both adults and children) eligible for such services, and satisfies the additional provider requirements and standards set forth herein.92.01-4National Committee for Quality Assurance (NCQA) - a private, 501(c)(3) not-for-profit organization dedicated to improving health care quality.92.01-5Plan of Care - The Plan of Care is a person-centered plan that describes, coordinates and integrates all of a member's clinical and non-clinical health care-related needs and services. The Plan of Care shall include the member's physical health and behavioral health goals (including recovery-oriented goals), and the services and supports necessary to achieve those goals. C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-92, subsec. 144-101-II-92.01