1. (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. (2) Each medical evaluation must include:

   1. (a) Diagnosis;
   2. (b) Summary of present medical findings;
   3. (c) Medical history;
   4. (d) Mental and physical functional capacity;
   5. (e) Prognosis; and

   6. (f) A recommendation by the physician concerning:

      1. 1. Admission to the psychiatric facility; or
      2. 2. Continued care in the psychiatric facility for individuals who apply for Medicaid while in the facility.

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

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 Repealed: Filed February 7, 1994; effective March 14, 1994.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