[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR441.153]



[Page 277]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 441_SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC 

 

Subpart D_Inpatient Psychiatric Services for Individuals Under Age 21 in 

                   Psychiatric Facilities or Programs

 

Sec.  441.153  Team certifying need for services.



    Certification under Sec.  441.152 must be made by terms specified as 

follows:

    (a) For an individual who is a recipient when admitted to a facility 

or program, certification must be made by an independent team that--

    (1) Includes a physician;

    (2) Has competence in diagnosis and treatment of mental illness, 

preferably in child psychiatry; and

    (3) Has knowledge of the individual's situation.

    (b) For an individual who applies for Medicaid while in the facility 

of program, the certification must be--

    (1) Made by the team responsible for the plan of care as specified 

in Sec.  441.156; and

    (2) Cover any period before application for which claims are made.

    (c) For emergency admissions, the certification must be made by the 

team responsible for the plan of care (Sec.  441.156) within 14 days 

after admission.