The definition is not diagnosis-specific for either physical or behavioral health. The RFP states that thirty days of substance abuse inpatient days must be held in reserve. In the context of the conversion of the inpatient benefit, t hirty days of inpatient substance abuse treatment must be held in reserve for inpatient use only and cannot be converted to other types of substance abuse treatment. This reserve is held for each 12 month period of enrollment. NorthSTAR will serve such children until CHIP enrollment occurs.
Custodial care means assistance with one or more activities of daily living.
Custodial care is provided in the home or other setting by persons without professional training or skills. Skilled nursing care is that level of care that requires the training and skills of a registered nurse, is prescribed by a doctor for the medical care of the patient and may not be provided by less skilled or less trained professionals. During the formal written question phase of the RFP process, please resubmit the request for a definition of the specific referral at issue.