It is better organized, and corrects many of the objectionable features first presented in February, and subsequently in two drafts previously available here.
Many problems remain.
The policy is supposed to document guidelines for medical necessity and good local psychiatric practice. All comments will be carefully reviewed and prepared for presentation to Norbert Rainford, M.D., Empire Medicare Medical Director, who is the lead Medical Director for this policy, during the summer. APA's Office of Healthcare Systems and Financing will also assist in dissemination of this policy to national experts, and in preparing commentary and recommendations. The comment period for this policy has been extended to the next meeting, on September 13, 2000.