Section 7 AAC 70.990 - DefinitionsIn this chapter, unless the context requires otherwise.
(1) "active treatment" means that the individual who renders the services actively engages the recipient and provides pre-planned specific interventions, supports, or other actions that assist the recipient in achieving the goals written in the behavioral health treatment plan;(2) "adult experiencing a serious mental illness" means an individual described in 7 AAC 70.920;(3) "behavioral health clinical associate" means an individual(A) who may have less than a master's degree in psychology, social work, counseling, or a related field with specialization or experience in providing rehabilitation services to recipients with severe behavioral health conditions;(B) whose responsibilities may include provision of psychosocial evaluation, education related to a recipient's behavioral health condition, encouraging and coaching, counseling, and teaching of needed life skills; and(C) who works within the scope of the individual's training, experience, and education;(4) "behavioral health clinic services" means the services provided to a recipient under 7 AAC 135.010(b);(5) "behavioral health rehabilitation services" means the services provided to a recipient under 7 AAC 135.010(c);(6) "behavioral health services" means the outpatient evaluation or treatment of an individual's mental health or substance use;(7) "behavioral health services provider" means(A) a community behavioral health services provider;(B) a substance use disorder treatment provider that, as described in 7 AAC 70.010(a) (2), is not receiving money from the department;(8) "breathalyzer" means a device for estimating blood alcohol content from a breath sample;(9) "case management" means assistance to the recipient and the recipient's family in accessing and coordinating high-quality needed services, including (A) medical, psychiatric, and mental health services;(B) substance use disorder treatment;(C) educational, vocational, and social supports; and(D) community-based services, related assessments, and post-discharge follow-up activities;(10) "child experiencing a severe emotional disturbance" means an individual described in 7 AAC 70.930;(11) "community behavioral health services provider" means a provider listed in 7 AAC 70.010(a)(1) that has obtained a department approval under 7 AAC 70.030 to provide identified behavioral health services and meets the requirements set out in 7 AAC 70.100 or 7 AAC 70.130;(13) "co-occurring disorders" means a diagnosable substance use disorder and a diagnosable mental health disorder that the recipient experiences at the same time;(14) "counseling" means an exchange of information, opinions, and ideas between the recipient and the recipient's provider about the recipient's life choices and behaviors for the purposes of assisting the recipient to make positive changes in the recipient's behavior;(15) "crisis or relapse prevention planning" means service activities designed to support the recovery of the individual in order to reduce and prevent recurrence of harmful use of alcohol or other drugs;(16) "department" means the Department of Health and Social Services;(19) "discharge or transfer planning" means the planning necessary for a recipient to make a smooth transition away from active involvement with treatment services or from one level of care to another level of care;(20) "dual diagnosis capable program" means a program (A) that addresses co-occurring disorders in its policies and procedures, assessment, treatment planning, program content, and discharge planning;(B) in which the program staff is able to address the interaction between substance use and mental health disorders; and(C) that is not required to operate under the direction of a physician and does not provide behavioral health clinic services;(21) "dual diagnosis enhanced program" means a program that (A) has a higher level of integration of substance use and mental health treatment services than a dual diagnosis capable program and is able to provide unified treatment of the symptoms of the recipient's substance use and mental health disorders, in addition to addressing the interactions between the co-occurring disorders; and(B) provides behavioral health clinic services under the direction of a physician with individual services supervised by a mental health professional clinician;(22) "functional impairment" (A) means a disorder that substantially interferes with or prevents a recipient from achieving or maintaining one or more developmentally appropriate social, behavioral, cognitive, communicative, or adaptive skills;(B) includes disorders of episodic, recurrent, or continuous duration;(C) does not include temporary, expected responses to stressful events in the recipient's environment;(23) "general acute care hospital" has the meaning given in 7 AAC 12.990;(24) "general direction" means, in a community behavioral health services provider, a physician provides general program and clinical consultative services when needed;(25) "management of a recipient's chronic disease" means using a community-wide, systematic, and structured multidisciplinary approach to interventions designed to prevent or manage one or more chronic conditions;(26) "medication administration services" means the administration, by medical personnel, of injectable or oral medications to a recipient, documentation of medication compliance, assessment and documentation of side effects, and evaluation and documentation regarding the effectiveness of the medication; in this paragraph, "medical personnel" means(B) a physician assistant;(C) an advanced practice registered nurse;(D) a registered nurse supervised by a physician or advanced practice registered nurse;(E) a licensed practical nurse supervised by a physician or advanced practice registered nurse;(27) "mental, emotional, or behavioral disorder" means a disorder identified by a provider listed in 7 AAC 135.030 and in accordance with the (A)Diagnostic and Statistical Manual of Mental Disorders, adopted by reference in 7 AAC 70.910;(B)International Classification of Diseases, adopted by reference in 7 AAC 70.910; or(C)Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood: Revised Edition (DC:0-3R), adopted by reference in 7 AAC 70.910;(28) "mental health professional clinician" means(A) an individual who (i) is working for a community behavioral health services provider;(ii) is performing limited behavioral health services that are within that individual's field of expertise;(iii) is not working in a capacity that requires the individual to be licensed under AS 08; and(iv) has a master's degree or more advanced degree in psychology, counseling, child guidance, community mental health, marriage and family therapy, social work, or nursing;(B) a nurse who (i) has a master's degree in nursing;(ii) has received special training or experience in mental health;(iii) has an active license to practice nursing under AS 08.68; and(iv) is working in the individual's field of expertise;(C) a marital and family therapist who (i) has an active license to practice marital and family therapy under AS 08.63; and(ii) is working in the individual's field of expertise;(D) a professional counselor who (i) has an active license to practice as a professional counselor under AS 08.29; and(ii) is working in the individual's field of expertise;(E) a social worker who (i) has a master's degree in social work;(ii) has an active license to practice as a social worker under AS 08.95; and(iii) is working in the individual's field of expertise; or(F) a psychologist or psychological associate who (i) has an active license to practice as a psychologist or psychological associate under AS 08.86; and(ii) is working in the individual's field of expertise;(29) "service area" means the geographic area described by an applicant and affirmed by the department as the area for which services will be provided by a provider authorized under this chapter;(30) "short-term crisis" means an acute episode of a mental, emotional, behavioral, or psychiatric disorder;(31) "substance use disorder" means a disorder that is identified by a diagnostic code found in the Diagnostic and Statistical Manual of Mental Disorders, adopted by reference in 7 AAC 70.910, or the International Classification of Diseases, adopted by reference in 7 AAC 70.910, and that is related to (A) alcohol, amphetamine, or similar acting sympathomimetics;(B) cannabis, cocaine, hallucinogens, inhalants, nicotine, or opioids;(C) analogs of phencyclidine (PCP) or similar arylcyclohexylamines; or(D) sedatives, hypnotics, or anxiolytics;(32) "substance use disorder counselor" means an individual who (A) has completed a course of study, training, or education, or who has documented evidence of experience, that has resulted in demonstrated competency to assist with or to independently conduct screening, assessment, treatment planning, case management, and provision of rehabilitative services for the treatment of substance use disorders; and who (i) works within the scope of the individual's education, training, and experience; (ii) adheres to a code of professional ethics; and(iii) participates in continuing education to enhance relevant knowledge, skills, abilities, and professional characteristics; or (B) holds any current, valid certificate from the National Association for Alcoholism and Drug Abuse Counselors, the International Certification and Reciprocity Consortium, the Alaska Commission for Behavioral Health Certification, or the Alaska Native Tribal Health Consortium Behavioral Health Aide Program; (33) "substance use disorder treatment provider" means a provider that is subject to the requirements of AS 47.30.475, 47.30.520-47.30.620, or AS 47.37 and that operates an opioid disorder treatment program, alcohol and drug withdrawal management services, residential substance use disorder treatment facility, or outpatient substance use disorder treatment services to provide treatment to recipients with substance use disorders; (34) "urinalysis" means laboratory testing of a recipient's urine performed by a laboratory accredited under 42 C.F.R. Part 493.(35) "opioid use disorder treatment program" means an individual or entity that (A) administers or dispenses a narcotic drug to a narcotic addict for withdrawal or maintenance treatment;(B) provides to individuals when appropriate or necessary a comprehensive range of medical and behavioral health clinical and rehabilitative services; and(C) is approved under this chapter.(36) "autism services" (A) means the (i) design, implementation, and evaluation of instructional and environmental modifications to produce socially significant improvements in human behavior;(ii) empirical identification of functional relations between behavior and environmental factors, and the utilization of contextual factors, motivating operations, antecedent stimuli, positive reinforcement, and other consequences to help people develop new behaviors, increase or decrease existing behaviors, and engage in behaviors under specific environmental conditions; and(iii) application of adaptive behavior treatment by protocol, group adaptive behavior treatment by protocol, adaptive behavior treatment by protocol modification, or family adaptive treatment guidance;(B) does not include (i) psychological testing;(ii) diagnosis of a mental or behavioral disorder; or(iii) the practice of neuropsychology, psychotherapy, cognitive therapy, sex therapy, psychoanalysis, hypnotherapy, or long-term counseling;(37) "missing," with respect to (A) a child, means absent for more than 10 hours without approval from a residential child care facility as defined in AS 47.32.900;(B) an adult recipient who currently receives services from a behavioral health services provider, means absent for more than 72 hours without approval from a residential treatment facility, a housing facility owned or operated by the provider, or an assisted living home where services are delivered to the recipient by the provider; or(C) an individual described in (A) or (B) of this paragraph, means the subject of a missing person report that the provider receives from a member of law enforcement or a family member;(38) "withdrawal management" means the process to safely and effectively provide the immediate physiological stabilization and treatment of a recipient who is intoxicated, incapacitated, or experiencing withdrawal from a specific psychoactive substance;(39) "withdrawal management services" means treatment in accordance with the ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions, adopted by reference in 7 AAC 70.910, for the following levels of care: (A) level 1 withdrawal management: ambulatory withdrawal management services without extended on-site monitoring;(B) level 2 withdrawal management: ambulatory withdrawal management services with extended on-site monitoring provided under 7 AAC 70.110; (C) level 3.2 withdrawal management: clinically managed residential withdrawal management services provided under 7 AAC 70.110;(D) level 3.7 withdrawal management: medically monitored inpatient withdrawal management services provided under 7 AAC 70.110.Eff. 10/1/2011, Register 199; am 6/16/2016, Register 218, July 2016; am 4/9/2017, Register 222, July 2017; am 7/1/2018, Register 226, July 2018; am 4/24/2020, Register 234, April 2020; am 6/30/2021, Register 238, July 2021Authority:AS 47.05.010
AS 47.30.477
AS 47.30.530
AS 47.30.540
AS 47.30.570
AS 47.37.130
AS 47.37.140