HAR §17-1737-13. Psychiatric consultation

(a) A psychiatrist's or psychologist's consultation shall be for diagnostic evaluation and treatment planning of a patient. (1) Consultation shall be limited to a total of two hours, in one or two visits, for interview and documentation. (2) Prior authorization is not required. UNOFFICIAL 1737-12 (3) A copy of the report shall be provided to the department's medical or psychiatric consultant upon the department's request. (b) Restrictions on psychiatric consultations are requests by: (1) Friends; (2) Relatives; or (3) Other interested persons. [Eff 08/01/94 ] (Auth: HRS §346-14; 42 C.F.R. §431.10) (Imp: 42 C.F.R. §405.231) §17-1737-14 Diagnostic and evaluative procedures for psychiatric care. (a) Psychological testing shall be authorized as a diagnostic or evaluative procedure. (b) Prior authorization is required for all psychological testing except when given in an inpatient facility or when requested by the department's professional staff. (1) The request for prior authorization shall be completed, signed, and dated by the psychiatrist or psychologist; (2) The request for prior authorization shall be received in the medical assistance program (medicaid) office within five working days from the date of testing. The postmarked date shall be accepted provided it is within the five working days requirement; (3) Reimbursement to the psychiatrist or psychologist shall be denied when forms are not received within the specified time. (c) Authorization shall be for a maximum of six hours per twelve month period. (d) The number of hours authorized includes time for interview, appraisal, and concluding documentation. (e) Only time spent by a qualified psychiatrist or psychologist in administering, monitoring, and evaluating tests shall be reimbursable. Time spent by a technician is not reimbursable. (f) A copy of the testing report shall be provided to the department's psychiatric or medical consultant upon request. (g) Testing requested by the following agencies and individuals for their use shall not be authorized: (1) Friends; (2) Relatives; or (3) Other interested persons. (h) Evaluation to determine mental impairment for general assistance applicants and recipients between UNOFFICIAL 1737-13 eighteen and sixty-five years of age shall be completed by designated providers. No prior authorization is required. [Eff 08/01/94 ] (Auth: HRS §346-14; 42 C.F.R. §431.10) (Imp: 42 C.F.R. §405.231)