[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: 42CFR456.180]



[Page 350]

 

                         TITLE 42--PUBLIC HEALTH

 

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

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 456_UTILIZATION CONTROL--Table of Contents

 

             Subpart D_Utilization Control: Mental Hospitals

 

Sec.  456.180  Individual written plan of care.



    (a) Before admission to a mental hospital or before authorization 

for payment, the attending physician or staff physician must establish a 

written plan of care for each applicant or recipient.

    (b) The plan of care must include--

    (1) Diagnoses, symptoms, complaints, and complications indicating 

the need for admission;

    (2) A description of the functional level of the individual;

    (3) Objectives;

    (4) Any orders for--

    (i) Medications;

    (ii) Treatments;

    (iii) Restorative and rehabilitative services;

    (iv) Activities;

    (v) Therapies;

    (vi) Social services;

    (vii) Diet; and

    (viii) Special procedures recommended for the health and safety of 

the patient;

    (5) Plans for continuing care, including review and modification to 

the plan of care; and

    (6) Plans for discharge.

    (c) The attending or staff physician and other personnel involved in 

the recipient's care must review each plan of care at least every 90 

days.