Chapter 1151. Inpatient Psychiatric Services  


Section 1151.1. Policy
Section 1151.2. Definitions
Section 1151.21. Scope of benefits for the categorically needy
Section 1151.22. Scope of benefits for the medically needy
Section 1151.23. Scope of benefits for State Blind Pension recipients
Section 1151.24. Scope of benefits for GA recipients
Section 1151.31. Participation requirements
Section 1151.32. Participation requirements for out-of-State private psychiatric hospitals
Section 1151.33. Ongoing responsibilities of providers
Section 1151.34. Changes of ownership or control
Section 1151.41. General payment policy
Section 1151.41a. Clarification of the term ‘‘in writing’’—statement of policy
Section 1151.42. Payment methods and rates
Section 1151.43. Limitations on payment
Section 1151.44. Allowable costs
Section 1151.45. Nonallowable costs
Section 1151.46. Payment rate calculations for Fiscal Years 1993-94 and 1994-95
Section 1151.47. Annual cost reporting
Section 1151.48. Noncompensable services and items
Section 1151.49. Third-party liability
Section 1151.50. Payment for out-of-State private psychiatric hospital services
Section 1151.51. [Reserved]
Section 1151.52. Payment for capital costs not included in the base year
Section 1151.53. Billing requirements
Section 1151.54. Disproportionate share payments
Section 1151.55. [Reserved]
Section 1151.56. [Reserved]
Section 1151.61. Payment conditions: general
Section 1151.62. Certification of Need for admission
Section 1151.63. Medical and psychiatric evaluation
Section 1151.64. Social evaluation
Section 1151.65. Plan of care
Section 1151.66. Team developing plan of care
Section 1151.67. Payment conditions related to the recipient’s continued need for care
Section 1151.70. Scope of claim review process
Section 1151.71. Concurrent hospital review
Section 1151.72. Inpatient psychiatric facility utilization review plan
Section 1151.73. Requirements for inpatient psychiatric utilization review committees
Section 1151.74. Responsibilities of the inpatient psychiatric facility utilization review committee
Section 1151.75. Admission review requirements
Section 1151.76. Continued stay review requirements
Section 1151.77. Medical care evaluation studies
Section 1151.78. Adverse determinations
Section 1151.81. Inspections of care: general
Section 1151.82. Inspections of care reports
Section 1151.91. Provider abuse
Section 1151.92. Administrative sanctions
Section 1151.101. Provider right of appeal

Notation

Authority

   The provisions of this Chapter 1151 issued under section 443.1 of the Public Welfare Code (62 P. S. §  443.1), unless otherwise noted.

Source

   The provisions of this Chapter 1151 adopted September 30, 1983, effective July 1, 1983, 13 Pa.B. 2976, unless otherwise noted.

Cross References

   This chapter cited in 55 Pa. Code §  1101.31 (relating to scope); 55 Pa. Code §  1150.59 (relating to PSR program); 55 Pa. Code §  1163.67 (relating to disproportionate share payments); and 55 Pa. Code §  1163.459 (relating to disproportionate share payments).