Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1151 - INPATIENT PSYCHIATRIC SERVICES
PAYMENT CONDITIONS FOR INPATIENT PSYCHIATRIC SERVICES
Section 1151.66 - Team developing plan of care

Universal Citation: 55 PA Code ยง 1151.66

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

(a) The team responsible for developing the plan of care for recipients under age 21 shall be capable of:

(1) Assessing the recipient's immediate and long range therapeutic needs, developmental priorities and personal strengths and liabilities.

(2) Assessing the potential resources of the recipient's family to care for and support the recipient.

(3) Setting treatment objectives.

(4) Prescribing therapeutic modalities to achieve the plan's objectives.

(b) In addition to the individuals specified in subsection (c), the team shall include one of the following:

(1) A Board-eligible or Board-certified psychiatrist.

(2) A clinical psychologist who has a doctoral degree and a physician licensed to practice medicine or osteopathy.

(3) A physician licensed to practice medicine or osteopathy with specialized training and experience in the diagnosis and treatment of mental diseases and a psychologist who has a master's degree in clinical psychology or who has been certified by the State Board of Psychology or by the State Psychological Association.

(c) The team shall include at least one of the following:

(1) A psychiatric social worker.

(2) A registered nurse with specialized training or 1 year of experience in treating mentally ill individuals.

(3) An occupational therapist who is licensed and who has specialized training or 1 year of experience in treating mentally ill individuals.

(4) A psychologist who has a master's degree in clinical psychology or who has been certified by the State Board of Psychology or by the State Psychological Association.

(d) Subsections (a)-(c) apply only to private psychiatric hospitals. Distinct part psychiatric units of acute care general hospitals shall comply with 42 CFR 456.80 (relating to individual written plan of care).

The provisions of this §1151.66 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 § 1151.62 (relating to certification of need for admission); 55 Pa. Code § 1151.65 (relating to plan of care); and 55 Pa. Code § 1151.67 (relating to payment conditions related to the recipient's continued need for care).

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