Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1151 - INPATIENT PSYCHIATRIC SERVICES
PROVIDER PARTICIPATION
Section 1151.33 - Ongoing responsibilities of providers

Universal Citation: 55 PA Code ยง 1151.33

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

(a) In addition to the ongoing responsibilities established in Chapter 1101 (relating to general provisions), and as a condition of continued participation in the MA Program, private psychiatric hospitals and general hospitals with distinct part psychiatric units that are reimbursed under this chapter shall:

(1) Maintain transfer agreements with skilled nursing and intermediate care facilities, general hospitals and rehabilitation hospitals, for the prompt and appropriate transfer of patients who no longer require inpatient psychiatric services.

(2) Upon request, promptly furnish accurate copies of patient records and fiscal records to the Department or its agents or to Federal and State auditors.

(3) Retain complete, accurate and auditable medical and fiscal records for 4 years from the date of each admission for every MA recipient.

(b) In addition to the ongoing responsibilities established in Chapter 1101 and as a condition of continued participation in the MA Program, psychiatric units of general hospitals that are reimbursed under this chapter shall also keep separate patient statistics and fiscal records on the cost of, and charges for, services provided to MA patients in the psychiatric unit.

The provisions of this §1151.33 amended under sections 201 and 443.1(1) of the Public Welfare Code (62 P. S. §§ 201 and 443.1(1)).

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