Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-5 - PSYCHIATRIC FACILITIES FOR INDIVIDUALS 65 OR OVER
Section 560-X-5-.03 - Geriatric Inpatient Psychiatric Benefits
Current through Register Vol. 43, No. 02, November 27, 2024
(1) For purposes of this chapter, an inpatient is a person, age 65 or over, who has been admitted to a freestanding psychiatric facility specializing in the diagnosis, treatment and care of geriatric patients occupying beds, for the purpose of maintaining or restoring to the greatest possible degree of health and independent functioning.
(2) The number of days of care charged to a recipient or inpatient psychiatric service is always units of full days. A day begins at midnight and ends 24 hours later. The midnight to midnight method is used in reporting days of care for the recipient, even if the facility uses a different definition of day for statistical or other purposes.
(3) Medicaid reimbursement is available for the day of admission, but not the day of discharge.
(4) Therapeutic visits away from the psychiatric facility to home, relatives or friends are authorized if certified by the attending physician as medically necessary in the treatment of the recipient.
Author:
Statutory Authority: State Plan, Attachment 3.1-A, 4.19A. 42 C.F.R. Section 436.1004.