ADMISSION, CONTINUED STAY AND DISCHARGE REQUIREMENTS

1. (a) General rule. To be eligible for PRS, an individual must be 14 years of age or older and have a written recommendation from an LPHA acting within the scope of professional practice that includes the following information:

   1. (1) {Reserved}.

   2. (2) Documentation of one of the following diagnoses:

      1. (i) Schizophrenia.
      2. (ii) Schizoaffective disorder.
      3. (iii) Other specified schizophrenia spectrum and other psychotic disorder.
      4. (iv) Major depressive disorder.
      5. (v) Bipolar disorder.
      6. (vi) Anxiety disorders.
      7. (vii) Posttraumatic stress disorder.
      8. (viii) Borderline personality disorder.

   3. (3) Documentation that, as a result of the individual’s diagnosis, the individual has a moderate to severe functional impairment that interferes with or limits the individual’s performance in at least one of the following domains:

      1. (i) Living.
      2. (ii) Learning.
      3. (iii) Working.
      4. (iv) Socializing.
      5. (v) Wellness.
   4. (4) {Reserved}.
2. (b) Assessment. A PRS agency shall identify and document the functional impairment of the individual in an assessment as required under § 5230.61(b)(1) (relating to assessment).

3. (c) Exception. An individual who does not have a diagnosis listed under subsection (a)(2) is eligible for PRS if the individual has a written recommendation from an LPHA acting within the scope of professional practice that includes the following information:

   1. (1) Documentation of a diagnosis of a mental, behavioral or emotional disorder that is listed in the current DSM or ICD, which results in a moderate to severe functional impairment in at least one of the following domains:

      1. (i) Living.
      2. (ii) Learning.
      3. (iii) Working.
      4. (iv) Socializing.
      5. (v) Wellness.
   2. (2) Documentation that it is anticipated that PRS will help the individual reach the individual’s desired goal.
4. (d) Admittance. An individual may only be admitted to PRS if the individual chooses to receive PRS.

Authority

The provisions of this § 5230.31 amended under sections 911 and 1021 of the Human Services Code (62 P.S. § § 911 and 1021).

Source

The provisions of this § 5230.31 amended January 17, 2025, effective January 18, 2025, 55 Pa.B. 463. Immediately preceding text appears at serial pages (366816) to (366817).

Cross References

This section cited in 55 Pa. Code § 5230.21 (relating to content of individual record); and 55 Pa. Code § 5230.81 (relating to quality improvement requirements).