Ala. Admin. Code r. 560-X-5-.06

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

Section 560-X-5-.06 - Plan Of Care

(1) The attending physician or staff physician must establish a written plan of care for each individual before admission to a mental hospital and before authorization of payment.

(2) The plan of care must include:

(a) Diagnosis, symptoms or complaints indicating a need for admission to inpatient care;

(b) Description of the functional level of the patient;

(c) Treatment objectives;

(d) Orders for medication, treatments, therapies, activities, restorative/rehabilitative services, diet, social services and special procedures needed for health and safety of the patient; and

(e) Continuing care plans that include post-discharge plans and coordination of inpatient services with partial discharge plans and related community services to ensure continuity of care with the recipient's family and community service providers upon discharge.

(3) The plan of care must be reviewed at least every 90 days or with significant changes in patient functioning or acuity by the attending or staff physician and other appropriate staff involved in the care of the recipient.

(4) The plan of care will be evaluated to ensure that the recipient is receiving treatment that maintains or will restore him to the greatest possible level of health and independent functioning.

(5) A written report of the evaluations described in Rule No. 560-X-5-.05 and the plan of care described in this section must be in the individual's record at the time of admission or immediately upon completion of the report if the individual is already in the facility.

Author:

Ala. Admin. Code r. 560-X-5-.06

New Rule: Filed September 6, 1995; effective October 12, 1995. Amended: Filed October 6, 1997; effective November 10, 1997.

Statutory Authority:42 C.F.R. Section 456.180.