55 Pa. Code § 1151.43. Limitations on payment.

§ 1151.43. Limitations on payment.

(a)  For adult recipients, payment for inpatient psychiatric hospital services in a private psychiatric hospital or a distinct part of a psychiatric unit of a general hospital is limited to 30 days per fiscal year.
(b)  A recipient is limited to two periods of therapeutic leave per calendar month. Neither of these periods of therapeutic leave may exceed 12 hours in a calendar day.
(c)  The Department is authorized to grant an exception to the limits specified in subsection (a) as described in §  1101.31(f) (relating to scope).

Authority

   The provisions of this §  1151.43 amended under sections 201(2), 403(b), 443.1, 443.3, 443.6, 448 and 454 of the Public Welfare Code (62 P. S. § §  201(2), 403(b), 443.1, 443.3, 443.6, 448 and 454).

Source

   The provisions of this §  1151.43 adopted September 30, 1983, effective July 1, 1983, 13 Pa.B. 2976; amended July 12, 1985, effective July 13, 1985, and will apply to reimbursement for services for FY 1984-85 for each fiscal year thereafter, 15 Pa.B. 2572; amended October 29, 1993, effective July 1, 1993, 23 Pa.B. 5241; amended August 26, 2005, effective August 29, 2005, 35 Pa.B. 4811. Immediately preceding text appears at serial pages (259625) to (259626).

Cross References

   This section cited in 55 Pa. Code §  1151.48 (relating to noncompensable services and items).

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