Utah Administrative Code
Topic - Health
Title R414 - Integrated Healthcare
Rule R414-31 - Inpatient Psychiatric Services for Individuals Under Age 21
Section R414-31-3 - Program Access Requirements
Universal Citation: UT Admin Code R 414-31-3
Current through Bulletin 2024-06, March 15, 2024
(1) Before admission for inpatient psychiatric services or before authorization for Medicaid payment, a facility physician must make a medical evaluation of the recipient's need for care in the hospital and certify that inpatient services are needed.
(2) The certification must document that:
(a) ambulatory care
resources available in the community do not meet the treatment needs of the
recipient;
(b) proper treatment of
the recipient's psychiatric condition requires services on an inpatient basis
under the direction of a physician; and
(c) the services can reasonably be expected
to improve the recipient's condition or prevent further regression so that
services will no longer be needed.
(3) The Bureau of Health Facility Licensing, Certification and Resident Assessment, within the Division of Health Systems Improvement, under the Department of Health, reviews the medical evaluation and certification and determines that the client meets certification of need requirements.
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