As used in this article 67, unless the context otherwise requires: (1) "Behavioral health administration" or "BHA" means the behavioral health administration established in section 27-50-102. (1.3) "Behavioral health safety net provider" has the same meaning as defined in section 27-50-101. (1.5) "Care management" includes, but is not limited to, consideration of the continuity of care and array of services necessary for appropriately treating a child or youth and the decision-making authority regarding the child's or youth's placement in and discharge from behavioral health services. (2) "Child or youth at risk of out-of-home placement" means a child or youth who, although not otherwise categorically eligible for medicaid, meets the following criteria: (a) The child or youth has been diagnosed as having a mental health disorder, as defined in section 27-65-102; (b) The child or youth requires a level of care that is provided in a residential child care facility pursuant to section 25.5-6-903, or that is provided through community-based programs, and who, without such care, is at risk of unwarranted child welfare involvement or other system involvement, as described in section 27-67-102, in order to receive funding for treatment; (c) If the child or youth is determined to be in need of placement in a residential child care facility, he or she shall apply for supplemental security income, but any determination for supplemental security income must not be a criterion for a child or youth to receive services pursuant to this article 67; (d) The child or youth is a person for whom there is no pending or current action in dependency or neglect pursuant to article 3 of title 19; and (e) The child or youth is younger than eighteen years of age, but he or she may continue to remain eligible for services until his or her twenty-first birthday. (2.5) "Commissioner" means the commissioner of the behavioral health administration. (3) "Community-based care" means any intervention that is designed to be an alternative to residential or hospital level of care in which the child or youth resides within a noninstitutional setting. (4) Repealed. (5) "County department" means the county or district department of human or social services. (6) "Family advocate" has the same meaning as provided in section 27-69-102 (5). (7) "Family systems navigator" has the same meaning as provided in section 27-69-102 (5.5). (8) "First-level appeal" means the initial process a medicaid member is required to enact to contest a benefit, service, or eligibility decision made by medicaid or a medicaid managed care entity. (9) "Medicaid child or youth who is at risk of out-of-home placement" means a child or youth who is categorically eligible for medicaid but who otherwise meets the definition of a child or youth who is at risk of out-of-home placement as defined in subsection (2) of this section. (10) "Mental health agency" means a behavioral health services contractor through the behavioral health administration serving children and youth statewide or in a particular geographic area and with the ability to meet all expectations of this article 67. (11) "Professional person" means a person licensed to practice medicine in this state, a psychologist certified to practice in this state, or a person licensed and in good standing to practice medicine in another state or a psychologist certified to practice and in good standing in another state who is providing medical or clinical services at a treatment facility in this state that is operated by the armed forces of the United States, the United States public health service, or the United States department of veterans affairs. (12) Repealed.
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