For MA certification a hospital shall be approved as a general hospital under s. 50.35, Stats., and ch. DHS 124, shall meet conditions of participation for medicare and shall have a utilization review plan that meets the requirements of 42 CFR 456.101. No facility determined by the department or the federal health care financing administration to be an institution for mental disease (IMD) may be certified as a general hospital under this section. In addition:

1. (1) A hospital providing outpatient psychotherapy shall meet the requirements specified in s. DHS 105.22 (1) and (2);
2. (2) A hospital providing outpatient alcohol and other drug abuse (AODA) services shall meet the requirements specified in s. DHS 105.23;
3. (3) A hospital providing mental health day treatment services shall be certified under s. DHS 105.24;
4. (4) A hospital participating in a PRO review program shall meet the requirements of 42 CFR 456.101 and any additional requirements established under state contract with the PRO; and

5. (5) A hospital providing AODA day treatment services shall be certified under s. DHS 105.25.

   Note: For certification of a hospital that is an institution for mental disease, see s. DHS 105.21. For covered hospital services, see s. DHS 107.08.

History

History: Cr. Register, February, 1986, No. 362, eff. 3-1-86; r. and recr. (intro.), am. (1) to (4), cr. (5), Register, September, 1991, No. 429, eff. 10-1-91; correction in (intro.) made under s. 13.92 (4) (b) 7., Stats., Register December 2008 No. 636.