Current through Register Vol. 54, No. 44, November 2, 2024
(a)
The Department's Federally required inspection of care team will evaluate the
care and services provided to each recipient under 21 years of age or 65 years
of age or older in a participating psychiatric hospital at least annually by
making an onsite inspection. The hospital will be notified no earlier than 48
hours prior to the inspection and advised of the scheduled arrival of the team.
The hospital shall make MA medical records readily available to the team. The
team's inspection includes:
(1) Personal
contact with, and observation of, each recipient under 21 years of
age.
(2) Review of a recipient's
medical record.
(3) Personal
contact with and observation of the recipient if the recipient is 65 years of
age or older and the medical record contains incomplete reports.
(b) The team will determine in its
inspections whether:
(1) Services are
available and adequate to meet the recipient's health needs.
(2) It is medically necessary and desirable
for the recipient to remain in the hospital.
(3) It is feasible for the hospital to meet
the recipient's health needs and rehabilitative needs or whether the
recipient's needs could be met through alternative institutional or
noninstitutional services.
(4) A
recipient under 21 years of age is receiving active treatment.
(5) The medical, social and psychological
evaluations and the plan of care are complete and current and are being
followed, and ordered services are provided and recorded.
(6) The recipient receives adequate services
based on personal observations; that is, the recipient is clean; there are no
bedsores; there are no signs of malnutrition or dehydration; and there is
apparent maintenance of maximum physical, mental and psychosocial
function.
(7) Service needs are met
by the facility or by outside arrangements.
(8) The recipient needs continued placement
in the hospital or there is an appropriate plan to transfer the recipient to
alternate care.
(c) This
section applies only to private psychiatric hospitals.
The provisions of this §1151.81 amended under sections 201
and 443.1(1) of the Public Welfare Code (62 P. S.
§§
201 and
443.1(1)).
