405 IAC 5-17-4 Physical rehabilitation services

Sec. 4. (a) Medicaid reimbursement is available for physical rehabilitation services when such services are prior authorized subject to this section. (b) Prior to admission to a physical rehabilitation unit, an assessment of the patient's total rehabilitative potential must be completed and documented in the medical record. (c) Medicaid reimbursement is available for physical rehabilitation admission based on the following conditions: (1) The patient is medically stable. (2) The patient is responsive to verbal or visual stimuli. (3) The patient has sufficient mental alertness to participate in the program. (4) The patient's premorbid condition indicates a potential for rehabilitation. (5) The expectation for improvement is reasonable. (6) The criteria listed in 405 IAC 5-32 are met.