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(60) “psychiatric assessment” means a systematic evaluation of a recipient to determine symptomatology, establish a diagnosis, and prescribe needed treatment;

(61) “psychiatric facility” means a licensed hospital facility or part of a licensed hospital facility that is primarily for the diagnosis and treatment of mental, emotional, or behavioral disorders;

(62) “psychiatrist” means a physician licensed to practice medicine in the jurisdiction in which services are provided, and who has completed a fully qualified residency in psychiatry;

(63) “psychological associate” means an individual licensed in the jurisdiction in which services are provided, who renders specific mental health services in association with a licensed psychologist within the scope of practice identified in 12 AAC 60.185;

(64) repealed 10/1/2011;

(65) “psychologist” means an individual who is licensed to practice psychology in the jurisdiction in which services are provided;

(66) “psychosocial assessment” has the meaning given in this section for “functional assessment”;

(67) “quality improvement organization” or “QIO” means an organization that has a contract with the Department of Health and Human Services, Centers for Medicare and Medicaid Services, under part B of title XI of the Social Security Act, 42 U.S.C. 1320c — 1320c-12, to perform utilization and quality control review of the health care furnished, or to be furnished, to Medicare beneficiaries, and operates under a contract with the state to provide preadmission screening and utilization review services;

(68) “RBRVS” means resource-based relative value scale;

(69) “recipient” means an individual who has been determined eligible for Medicaid in this state, including home and community-based waiver services, and who is receiving, is authorized to receive, or has received a Medicaid-covered service from a provider enrolled in the Medicaid program in this state;

(70) “recipient’s representative” means a parent, guardian, or other individual with legal authority to act on the recipient’s behalf;

(71) “recoupment” means an action by the department to recover an overpayment by reducing future payments to the provider until the amount of the overpayment has been offset;

(72) “rendering provider” means a provider whose direct services are paid through a health care provider enrolled under 7 AAC 105.200(a);

(73) “residential care” means a residential living arrangement that provides a structured setting with supervision and care where the needs of the residents are largely social; a facility providing residential care is one that offers