Ala. Admin. Code r. 560-X-10-.06

Current through Register Vol. 43, No. 1, October 31, 2024

Section 560-X-10-.06 - Therapeutic Leave

(1) Payments to nursing facilities may be made for therapeutic leave visits to home, relatives, and friends for up to six days per calendar quarter. A therapeutic leave visit may not exceed three days. Visits may not be combined to exceed the three day limit.

(2) Payments to ICF/IID facilities for therapeutic visits are limited to 14 days per calendar month.

(3) The nursing facility must ensure that each therapeutically indicated visit by a patient to home, relatives, or friends is authorized and certified by a physician.

(4) Medicaid shall not be responsible for the record keeping process involving therapeutic leave.

(5) A nursing facility must provide written notice to the resident and a family member or legal representative of the above specifying the Medicaid policy upon a resident taking therapeutic leave and at the time of transfer of a resident to a hospital.

Ala. Admin. Code r. 560-X-10-.06

New Rule: Filed August 11, 2003; effective September 11, 2003. Amended: Filed November 8, 2006; effective December 13, 2006.

Amended by Alabama Administrative Monthly Volume XXXV, Issue No. 04, January 31, 2017, eff. 2/25/2017.

Author: Robin Arrington, Associate Director, LTC Provider Recipient/Services Unit

Statutory Authority: State Plan; Title XIX, Social Security Act;

42 C.F.R. §§ 401, et seq.; 483.12.