Ala. Admin. Code r. 560-X-5-.05

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

Section 560-X-5-.05 - Medical, Psychiatric, And Social Evaluation

(1) Before admission to a psychiatric facility or before authorization for payment, the attending physician, psychiatrist, or staff physician must make a medical evaluation of each individual's need for care in the facility. Appropriate professional personnel must make a psychiatric and social evaluation.

(2) Each medical evaluation must include:

(a) Diagnosis;

(b) Summary of present medical findings;

(c) Medical history;

(d) Mental and physical functional capacity;

(e) Prognosis; and

(f) A recommendation by the physician concerning:

1. Admission to the psychiatric facility; or

2. Continued care in the psychiatric facility for individuals who apply for Medicaid while in the facility.

Author:

Ala. Admin. Code r. 560-X-5-.05

Rule effective October 1, 1982. Repealed: Filed February 7, 1994; effective March 14, 1994. New Rule: Filed September 6, 1995; effective October 12, 1995.

Statutory Authority:42 C.F.R. Section 456.170.