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Library: Policy

317:30-5-41.1. Acute inpatient psychiatric services

Issued 12-1-06

(a) Inpatient stays in a psychiatric unit of a general medical/ surgical hospital are covered for members of any age.  See OAC 317:30-5-95 for coverage in a freestanding psychiatric hospital or psychiatric residential treatment facility.

(b) Utilization Control.  All psychiatric admissions must be prior authorized.  SoonerCare utilization control requirements applicable to inpatient psychiatric services in freestanding psychiatric hospitals apply to acute care hospitals.  Acute care hospitals are required to maintain the same level of documentation on individuals receiving psychiatric services as the freestanding psychiatric facilities (refer to OAC 317:30-5-95.12).

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