Section He-C 6344.03 - Definitions(a) "Applicant" means the entity that is requesting certification for payment as a behavioral health service provider.(b) "Division of behavioral health (DBH) " means the organizational unit of the department health and human services established pursuant to RSA 135-C:6.(c) "Case plan" means the division for children, youth and families written document, pursuant to RSA 170-G:4, III, that describes the service plan for the child and family, and addresses outcomes, tasks, responsible parties, and timeframes for correcting problems that led to abuse, neglect, delinquency, or child in need of services (CHINS) .(d) "Certification for payment" means the process by which DCYF approves the qualifications of and payment to providers of community-based behavioral health services.(e) "Child" means an individual from birth through age 20, except as otherwise stated in a specific provision. The term includes "minor".(f) "Child in need of services (CHINS) " means "child in need of services" as defined by RSA 169-D:2.(g) "Child protective service worker (CPSW) " means an employee of the division for children, youth and families who has expertise in managing cases to ensure families and children achieve safety, permanency and well-being.(h) "Cognitive Behavioral Therapy (CBT) " means a psychotherapy based on modifying everyday thoughts and behaviors, with the aim of positively influencing emotions. The cognitive model of managing emotional responses encourages the development of specific goals that are measurable and quantifiable.(i) "Commissioner" means the commissioner of the department of health and human services or his or her designee.(j) "Community mental health program (CMHP) " means a program operated by the state, city, town, or county, or a community-based New Hampshire nonprofit corporation for the purpose of planning, establishing, and administering an array of community-based, mental health services pursuant to He-M 403 and as defined in RSA 135-C:2, IV.(k) "Community-based behavioral health services" means behavioral health services certified by DCYF pursuant to RSA 170-G:4 XVIII.(l) "Conflict of interest" means a situation, circumstance, or financial interest, which has the potential to cause a private interest to interfere with the proper exercise of a public duty.(m) "Crisis intervention services" means short term in or out of home services designed to stabilize children and families in emergent situations.(n) "Department (DHHS) " means the department of health and human services.(o) "Diagnostic evaluation" means psychological testing or psychosocial assessment to determine the nature and cause of a child or family's dysfunction including mental status, child development, family history, and recommendations for treatment.(p) "Director" means the director of the division for children, youth, and families or designee.(q) "Division for children, youth, and families (DCYF) " means the organizational unit of the department of health and human services that provides services to children and youth referred by courts pursuant to RSA 169-B, RSA 169-C, RSA 169-D, RSA 170-B, RSA 170-C, and RSA 463.(r) "Educationally identified child" means "child with a disability'' as defined in RSA 186-C:2 namely, "any person 3 years of age or older but less than 21 years of age who has been identified and evaluated by a school district according to rules adopted by the state board of education and determined to have an intellectual disability, a hearing impairment including deafness, a speech or language impairment, a visual impairment including blindness, an emotional disturbance, an orthopedic impairment, autism, traumatic brain injury, acquired brain injury, another health impairment, a specific learning disability, deaf-blindness, multiple disabilities, or a child at least 3 years of age but less than 10 years of age, experiencing developmental delays, who because of such impairment, needs special education or special education and related services. The term "child with a disability'' shall include a child ages 18 to 21, who was identified as a child with a disability and received services in accordance with an individualized education program but who left school prior to his or her incarceration, or was identified as a child with a disability but did not have an individualized education program in his or her last educational institution."(s) "Evidence-informed practice" means the process of treatment, which takes into account client preferences and values, practitioner expertise, best scientific evidence and clinical characteristics and circumstance.(t) "Family therapy" means evidence-informed treatment involving family members and a therapist when treatment is focused on ameliorating conditions that impair family functioning.(u) "Group outpatient counseling" means the use of evidenced-informed psychotherapeutic or counseling techniques in the treatment of a group, most of whom are not related by blood, marriage, or legal guardianship in a community setting.(v) "Individual outpatient therapy" means the use of evidenced-informed psychotherapeutic or counseling techniques in the treatment of an individual on a one-to-one basis in a community setting.(w) "Juvenile probation and parole officer (JPPO) " means an employee of DCYF who discharges the powers and duties established by RSA 170-G: 16, and supervises paroled delinquents pursuant to RSA 170-H.(x) "Licensed alcohol and drug counselor (LADC) " means a person licensed by the state of New Hampshire board of licensing for alcohol and other drug use professionals according to RSA 330-C to practice substance use counseling as a LADC.(y) "Licensed practitioner" means a psychiatrist, advanced registered nurse practitioner, psychiatric nurse, psychologist, pastoral psychotherapist, independent clinical social worker, clinical mental health counselor, substance use counselor, or marriage and family therapist holding a state license to practice in their respective field.(z) "Managed care organization (MCO) " means an organization, contracted with the Department, that combines the functions of health insurance, delivery of care, and administration.(aa) "Master licensed alcohol and drug counselor (MLDAC) " means a person licensed by the state of New Hampshire board of licensing for alcohol and other drug use professionals according to RSA 330-C to practice substance use counseling as a MLDAC.(ab) "NH bridges" means the automated case management, information, tracking, and reimbursement system used by DCYF.(ac) "NH mental health authority" means the bureau of mental health services administration, under the division of behavioral health within DHHS.(ad) "Outcome" means the intended result or consequence that will occur from carrying out a program or activity.(ae) "Prescribing practitioner" means a provider licensed by the New Hampshire board of mental health practice, board of nursing, board of medicine, or the board of phycologists that provides services identified in 42 CFR 440:130 to reduce a physical or mental disability and aid in the restoration of a recipient to their best functional level.(af) "Private provider" means an individual behavioral health practitioner who is a sole practitioner or who is employed by an agency, excluding CMHP's, and provides services to a child or family and receives financial reimbursement from DHHS.(ag) "Program" means the community mental health program.(ah) "Provider" means the individual, agency or program that serves a child or family and receives financial reimbursement from DHHS.(ai) "Progress report" means the written document, submitted on a regular basis to DCYF by the behavioral health provider, which includes a summary of contacts and data documenting outcomes of the child and family specific treatment goals, dates of service, awareness of the permanency goal and congruence with case plan.(aj) "Psychotherapy" means face-to-face clinical intervention or assessment and monitoring necessary to determine the course and progress of therapy for individuals or families that: (1) Is based on evidence-informed psychological treatment principles;(2) Has as its purpose the improvement of interpersonal and self-care skills, psychological understanding, or a change in behavior(s), or any combination of these;(3) Is provided by a professional qualified pursuant to He-M 426.08(h) -(l) ;(4) Is monitored through the clinical record; and(5) Is based on an individual service plan.(ak) "Quality assurance" means the process that DCYF use to monitor the quality and effectiveness of community-based behavioral health services.(al) "Re-approval" means the division of behavioral health's process of conducting a comprehensive quality assurance and compliance evaluation for all community mental health programs that generates a re-approval report.(am) "Service authorization" means the form provided by DCYF indicating the division's responsibility for payment of community-based services for non-medicaid eligible children.(an) "Trauma-informed service system" means a system in which all parties involved recognize and respond to the impact of traumatic stress on those who have contact with the system including children, caregivers, and service providers. A trauma-informed service system reinforces trauma awareness, knowledge, and skills in the organizational cultures, practices, and policies of all those who are involved with the child, using the best available science, to facilitate and support the recovery and resiliency of the child and family.(ao) "Treatment plan" means the written, time-limited, goal-oriented, evidence-informed plan for the child and family developed by the provider and DCYF, which is in agreement with the case plan.N.H. Admin. Code § He-C 6344.03
(See Revision Note at part heading for He-C 6344) #9311, eff 11-5-08
Amended by Volume XXXVII Number 28, Filed July 13, 2017, Proposed by #12206, Effective 6/10/2017, Expires 6/10/2027.