(1) Inpatient psychiatric services for recipients age 65 or over, are covered services when provided:
- (a) In a free-standing psychiatric hospital exclusively for the treatment of persons age 65 or over with serious mental illness (as defined in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition);
- (b) Under the direction of a geriatric psychiatrists;
- (c) After the recipient reaches the age of 65; and
- (d) To a patient remaining in a facility for the course of the hospitalization.
- (2) Inpatient psychiatric services for recipients age 65 and over are unlimited if medically necessary and the admission and/or the continued stay reviews meet the approved psychiatric criteria.
Author: Solomon Williams, Associate Director, Institutional Services
Statutory Authority: State Plan, Attachment 3.1-14.
History: Rule effective October 1, 1982. Amended effective April 12, 1984. Repealed: Filed February 7, 1994; effective March 14, 1994. New Rule: Filed September 6, 1995; effective October 12, 1995. Amended: Filed June 11, 2015; effective July 16, 2015.