section .0300 – inpatient psychiatric hospital services
10A NCAC 25C .0301 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.