Current through Register Vol. 54, No. 19, May 11, 2024
Section 1163.59a - Utilization guidelines for inpatient hospital drug and alcohol services under the MA Program-statement of policy(a) For inpatient adult drug and alcohol services rendered on or after May 1, 1998, the Department will use the Pennsylvania Client Placement Criteria (PCPC) developed by the Bureau of Drug and Alcohol Programs (BDAP) in the Department of Health as utilization guidelines, both for prospective and retrospective reviews of patient care.(b) If the BDAP modifies the PCPC guidelines, the Department will also adopt those modifications.(c) Providers who do not already have a copy of the PCPC may obtain one by contacting the Department of Health, Bureau of Drug and Alcohol Programs, Room 929, Health and Welfare Building, Harrisburg, Pennsylvania 17108.The provisions of this § 1163.59a adopted November 3, 1995, effective 11/4/1995, and apply retroactively to November 1, 1995, 25 Pa. B. 4705; amended May 8, 1998, effective 5/9/1998, and apply retroactively to May 1, 1998, 28 Pa.B. 2150.