405 IAC 5-20-3
405 IAC 5-20-3 Requirements for psychiatric hospitals
Cite as Ind. Admin. Code tit. 405, r. 5-20-3
Sec. 3. Psychiatric hospitals must meet the following conditions in order to be reimbursed for inpatient services:
(1) The facility must be certified and a provider.
(2) The facility must maintain special medical records for psychiatric hospitals as required by 42 CFR 482.61, effective October 1,
1995, (not including secondary Code of Federal Regulations citations therein).
(3) The facility must provide services under the direction of a licensed physician.
(4) The facility must meet federal certification standards for psychiatric hospitals.
(5) The facility must meet utilization review requirements. The overall operation of a utilization review plan of a facility is monitored
by the survey personnel of the Indiana state department of health as contracted by the office. The hospital will be visited by the inspection of care
team annually to review medical and treatment records.