section .0300 – inpatient psychiatric hospital services

Link to law: 10a - health and human services/chapter 25 - medical assistance provided/subchapter c/10a ncac 25c .0301.html
Published: 2015

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section .0300 – inpatient psychiatric hospital services



Inpatient psychiatric hospital services are covered in

private psychiatric hospitals for services provided in beds licensed as

inpatient psychiatric or substance abuse hospital beds and in State mental

hospitals, for recipients under age 21, for recipients defined in 42 CFR

441.151 (c), and for recipients over age 65 as defined in Social Security Act

1905 (a) and (h) and 1861 (f). The admitting hospital is responsible for

obtaining certification for person under age 21 in accordance with Subpart D of

42 CFR 441.  Admission to all out of state psychiatric hospitals including

those enrolled as border psychiatric hospitals are subject to prior approval

for necessity to go out of state.  Admissions to psychiatric hospitals enrolled

as border hospitals are limited to cases where it is the general practice for

recipients in a particular locality to use medical resources in the other

State.  Services in out of state hospitals are provided only to the same extent

and under the same conditions as medical services provided in North Carolina.


History Note:        Authority G.S. 108A‑25(b); 108A‑54;

Eff. February 1, 1976;

Readopted Eff. October 31, 1977;

Amended Eff. February 1, 1991;

Transferred from 10A NCAC 22O .0111 Eff. May 1, 2012.