Current through Register Vol. 54, No. 50, December 14, 2024
Section 1151.73 - Requirements for inpatient psychiatric utilization review committees(a) Each inpatient psychiatric facility shall have a utilization review committee composed of two or more physicians knowledgeable in the diagnosis and treatment of mental diseases and other professional personnel as required under 42 CFR 456.206 (relating to organization and composition of UR committee; disqualification from UR committee membership). Committee members need not be members of the hospital medical staff.(b) A member of the utilization review committee may not participate in the review of a patient's case if the member is or was directly responsible for the care of that patient.(c) A member of the utilization review committee may not have a direct or indirect financial interest in a hospital.The provisions of this § 1151.73 adopted September 30, 1983, effective 7/1/1983, 13 Pa.B. 2796; amended June 18, 1993, effective 7/1/1993, 23 Pa.B. 2917; amended October 29, 1993, effective 7/1/1993, 23 Pa.B. 5241.The provisions of this § 1151.73 amended under sections 201 and 443.1(1) of the Public Welfare Code (62 P. S. §§ 201 and 443.1(1)).
This section cited in 55 Pa. Code § 1151.61 (relating to payment conditions: general); 55 Pa. Code § 1151.67 (relating to payment conditions related to the recipient's continued need for care); and 55 Pa. Code § 1151.72 (relating to inpatient psychiatric facility utilization review plan).