Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-5 - PSYCHIATRIC FACILITIES FOR INDIVIDUALS 65 OR OVER
Section 560-X-5-.01 - General

Universal Citation: AL Admin Code R 560-X-5-.01

Current through Register Vol. 43, No. 02, November 27, 2024

(1) Inpatient psychiatric services for recipients age 65 or over, are covered services when provided:

(a) In a free-standing psychiatric hospital exclusively for the treatment of persons age 65 or over with serious mental illness (as defined in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition);

(b) Under the direction of a geriatric psychiatrists;

(c) After the recipient reaches the age of 65; and

(d) To a patient remaining in a facility for the course of the hospitalization.

(2) Inpatient psychiatric services for recipients age 65 and over are unlimited if medically necessary and the admission and/or the continued stay reviews meet the approved psychiatric criteria.

Author: Solomon Williams, Associate Director, Institutional Services

Statutory Authority: State Plan, Attachment 3.1-14.

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