When used in this chapter, the following words shall have the meanings ascribed:
Behavioral Health Care - care that promotes the well-being of individuals by intervening and preventing incidents of mental illness, substance abuse, or other health concerns.
Comprehensive Care Plan - an individualized plan to provide health home services to address a beneficiary's behavioral and physical chronic conditions, based on assessment of health risks and the beneficiary's input and goals for improvement.
Beneficiary - a Medicaid recipient who has been determined to be eligible for the Health Home benefit, and/or who is enrolled in a Health Home.
Core Services Agency - a community-based provider that has entered into a Human Care Agreement with the Department of Behavioral Health to provide specific Mental Health Rehabilitation Services in accordance with the requirements of Chapter 34 of Title 22-A DCMR.
Department of Behavioral Health - the District of Columbia agency that regulates the District's mental health and substance abuse treatment system for adults, children, and youth.
Free Standing Mental Health Clinic - an entity certified in accordance with Chapter 8 of Title 29 DCMR.
Health Home - an entity that is certified by the District of Columbia Department of Behavioral Health as having systems in place to deliver person-centered services that coordinate a beneficiary's behavioral, primary, acute or other specialty medical health care services.
Mental Health Rehabilitation Services - behavioral health services provided by a Department of Behavioral Health-certified community mental health provider to beneficiaries in accordance with the District of Columbia Medicaid State Plan, the Department of Health Care Finance (DHCF)/ Department of Behavioral Health Interagency Agreement, and Chapter 34 of Title 22-A DCMR.
Serious and Persistent Mental Illness - a diagnosable mental, behavioral, or emotional disorder (including those of biological etiology) which substantially impairs the mental health of the person or is of sufficient duration to meet diagnostic criteria specified within the DSM-5 or its ICD-10-CM equivalent (and subsequent revisions) with the exception of DSM-5 "Z" codes, substance abuse disorders, intellectual disabilities and other developmental disorders, or seizure disorders, unless those exceptions co-occur with another diagnosable mental illness.
D.C. Mun. Regs. tit. 29, r. 29-6999