Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-5 - PSYCHIATRIC FACILITIES FOR INDIVIDUALS 65 OR OVER
Section 560-X-5-.05 - Medical, Psychiatric, And Social Evaluation
Universal Citation: AL Admin Code R 560-X-5-.05
Current through Register Vol. 43, No. 02, November 27, 2024
(1) Before admission to a psychiatric facility or before authorization for payment, the attending physician, psychiatrist, or staff physician must make a medical evaluation of each individual's need for care in the facility. Appropriate professional personnel must make a psychiatric and social evaluation.
(2) Each medical evaluation must include:
(a) Diagnosis;
(b) Summary of present medical
findings;
(c) Medical
history;
(d) Mental and physical
functional capacity;
(e) Prognosis;
and
(f) A recommendation by the
physician concerning:
1. Admission to the
psychiatric facility; or
2.
Continued care in the psychiatric facility for individuals who apply for
Medicaid while in the facility.
Author:
Statutory Authority: 42 C.F.R. Section 456.170.
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