Program Access Requirements. These services include nursing, therapy services, use of hospital facilities, the technical portion of clinical laboratory and radiology services, and medical social services. These services shall be furnished by the hospital. Nonphysician psychosocial counseling services are not covered Medicaid services. A therapeutic leave of absence is limited to inpatient rehabilitation admissions pursuant to a written order by the attending physician, planned by the physician or interdisciplinary team through established goals and objectives, and adequately documented and evaluated in the progress notes of the patient's chart as supporting the patient's plan of care.
All services related to organ transplantations require prior authorization.
All inpatient psychiatric and rehabilitation services require prior authorization. The Division of Administrative Rules is not able to answer questions about the content or application of these rules. The HTML version of this rule is a convenience copy. This information is made available on the Internet as a public service.