Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1151 - INPATIENT PSYCHIATRIC SERVICES
PAYMENT CONDITIONS FOR INPATIENT PSYCHIATRIC SERVICES
Section 1151.63 - Medical and psychiatric evaluation

Universal Citation: 55 PA Code ยง 1151.63

Current through Register Vol. 54, No. 44, November 2, 2024

(a) The medical and psychiatric evaluation of each applicant's and recipient's need for inpatient psychiatric care shall include the following:

(1) Diagnoses.

(2) Summary of present medical findings.

(3) Medical history.

(4) Mental and physical functional capability.

(5) Prognoses.

(6) A recommendation by a physician concerning admission to an inpatient psychiatric facility or continued care in the inpatient psychiatric facility, whichever is applicable.

(b) The medical and psychiatric evaluation specified in subsection (a) shall be recorded in the recipients record and, for private psychiatric hospitals only, on the Department's form. Examples of the Department's reporting form appear in the Provider Handbook.

The provisions of this §1151.63 amended under sections 201 and 443.1(1) of the Public Welfare Code (62 P. S. §§ 201 and 443.1(1)).

This section cited in 55 Pa. Code § 1151.61 (relating to payment conditions: general).

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