Section 210.000. Program Coverage.
- 016.06.50–210.100. Introduction.
- 016.06.50–211.000. Scope.
- 016.06.50–212.000. The Facility-Based Interdisciplinary Team.
- 016.06.50–212.100. Responsibilities of the Facility-Based Interdisciplinary Team.
- 016.06.50–213.000. Admission Criteria.
- 016.06.50–213.100. Medical Necessity
- 016.06.50–213.200. Medical Profile.
- 016.06.50–213.300. Medical Diagnosis.
- 016.06.50–214.000. Plan of Care.
- 016.06.50–214.100. Periodic Review of Plan of Care.
- 016.06.50–215.000. Covered Services.
- 016.06.50–216.000. Exclusions.
- 016.06.50–217.000. Benefit Limits.
- 016.06.50–217.100. Coverage Limitation—Medicaid Utilization Management Program 8–1–21
- 016.06.50–217.110. Mump Applicability 8–1–21
- 016.06.50–217.120. Mump Exemption.
- 016.06.50–217.130. Mump Procedures.
- 016.06.50–217.131. Extension of Rspd Admissions 8–1–21
- 016.06.50–217.132. Transfer Admissions 8–1–21
- 016.06.50–217.133. Retroactive Medicaid Eligibility 8–1–21
- 016.06.50–217.134. Third Party and Medicare Claims 8–1–21
- 016.06.50–217.135. Post Payment Review.
- 016.06.50–217.136. Administrative Reconsideration of Extension of Benefits Denial.
- 016.06.50–217.137. Appealing an Adverse Action.
- 016.06.50–217.200. Facility Limitation.
- 016.06.50–217.300. Services Limitation
- 016.06.50–218.000. Absent Days from the Rspd Facility.
- 016.06.50–219.000. Appeal Process for an Adverse Action.