405 IAC 5-16-4 - Rehabilitation center services; limitations
Authority: IC 12-15-1-10; IC 12-15-1-15; IC 12-15-21-2
Affected: IC 12-13-7-3; IC 12-15
Sec. 4.
Medicaid reimbursement is available for rehabilitation center services provided by appropriately licensed, certified, or registered staff members subject to the following limitations:
(1) All rehabilitation center services
require prior authorization by the department, except those services ordered in
writing by a physician prior to the patient's discharge from a hospital. Any
combination of therapy services ordered in writing may not exceed thirty (30)
hours, sessions, or visits in thirty (30) calendar days unless prior
authorization is obtained from the department.
(2) All services must be ordered in writing
by a physician.
(3) All services
must be provided in accordance with a written plan of care developed
cooperatively between the therapist or psychologist and the attending
physician.
(4) All services must be
medically necessary. Educational services, including, but not limited to, the
remediation of learning disabilities are not covered by Medicaid.
(5) All therapies provided in a
rehabilitation center must be provided in accordance with
405 IAC 5-22.
Notes
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