ARM 37.40.101. LEVEL OF CARE DETERMINATIONS

(1) The three basic considerations in every level of care determination are the individual patient's medical, psychological and social needs; the specific services required to fill these needs; and, the health and other personnel required to adequately provide these services. (a) Specific level of care criteria, as well as preadmission screening procedures, are found in ARM 37.40.201 and 46.12.1303. (2) Assessing a patient's medical condition and evaluating the appropriateness of services for that condition is primarily a nurse coordinator's function. If questions arise regarding the patient's medical condition or the propriety of some or all of the services ordered by the attending physician, physician advisor review, including peer review, may be requested by the attending physician. (3) Assessing a patient's psychological and social condition and evaluating the appropriate services for that condition is primarily a function of the department or its designee.