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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