Pennsylvania Code (Last Updated: April 5, 2016) |
Title 55. PUBLIC WELFARE |
PART III. Medical Assistance Manual |
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 writingstatement 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 recipients 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
The provisions of this Chapter 1151 issued under section 443.1 of the Public Welfare Code (62 P. S. § 443.1), unless otherwise noted.
The provisions of this Chapter 1151 adopted September 30, 1983, effective July 1, 1983, 13 Pa.B. 2976, unless otherwise noted.
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).