Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 6234 (September 28, 2024).

55 Pa. Code § 1151.63. Medical and psychiatric evaluation.

§ 1151.63. Medical and psychiatric evaluation.

 (a)  The medical and psychiatric evaluation of each applicant’s and recipient’s need for inpatient psychiatric care shall include the following:

   (1)  Diagnoses.

   (2)  Summary of present medical findings.

   (3)  Medical history.

   (4)  Mental and physical functional capability.

   (5)  Prognoses.

   (6)  A recommendation by a physician concerning admission to an inpatient psychiatric facility or continued care in the inpatient psychiatric facility, whichever is applicable.

 (b)  The medical and psychiatric evaluation specified in subsection (a) shall be recorded in the recipients record and, for private psychiatric hospitals only, on the Department’s form. Examples of the Department’s reporting form appear in the Provider Handbook.

Authority

   The provisions of this §  1151.63 amended under sections 201 and 443.1(1) of the Public Welfare Code (62 P. S. § §  201 and 443.1(1)).

Source

   The provisions of this §  1151.63 adopted September 30, 1983, effective July 1, 1983, 13 Pa.B. 2796; amended June 18, 1993, effective July 1, 1993, 23 Pa.B. 2917; amended October 29, 1993, effective July 1, 1993, 23 Pa.B. 5241. Immediately preceding text appears at serial page (181800).

Cross References

   This section cited in 55 Pa. Code §  1151.61 (relating to payment conditions: general).



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