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Pennsylvania Code (Last Updated: April 5, 2016) |
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Title 31. INSURANCE |
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PART IV. Life Insurance |
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Chapter 89. Approval of Life, Accident and Health Insurance |
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SubChapter I. ALCOHOL ABUSE AND DEPENDENCY BENEFITS |
Section 89.621. Inpatient detoxification services
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Inpatient detoxification services which are included as a covered benefit under Article VI-A of the act (40 P. S. § § 908-1—908-8) shall be provided in a facility which meets Department of Health minimum drug and alcohol standards for client-to-staff ratios and staff qualifications and which is one of the following:
(1) A hospital licensed under 28 Pa. Code Chapter 157 (relating to drug and alcohol services) and complying with § § 157.21—157.25 (relating to inpatient hospital activities—detoxification).
(2) A psychiatric hospital licensed under 28 Pa. Code Chapter 709 Subchapter K (relating to standards for inpatient hospital drug and alcohol activities offered in a freestanding psychiatric hospital) and complying with § 709.122 (relating to detoxification).
(3) A freestanding treatment facility licensed under 28 Pa. Code Chapter 709 (relating to standards for licensure of freestanding treatment facilities) and complying with 28 Pa. Code Chapter 709, Subchapter F (relating to standards for inpatient nonhospital activities—short-term detoxification) and which has a written affiliation agreement with a hospital for emergency, medical and psychiatric or psychological support services.
(4) A health care facility issued a certificate of compliance under 28 Pa. Code Chapter 711 (relating to standards for certification of treatment activities which are a part of a health care facility) and complying with 28 Pa. Code Chapter 711, Subchapter E (relating to standards for inpatient nonhospital activities—short-term detoxification) and which has a written affiliation agreement with a hospital for emergency, medical and psychiatric or psychological support services.
The provisions of this § 89.621 adopted March 25, 1988, effective March 26, 1988, 18 Pa.B. 1360.
Notation
The provisions of this § 89.621 issued under sections 206, 506, 1501 and 1502 of The Administrative Code of 1929 (71 P. S. § § 66, 186, 411 and 412); and The Insurance Company Law of 1921 (40 P. S. § § 341—391).