Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 5598 (August 31, 2024).

55 Pa. Code § 5230.31. Admission requirements.

ADMISSION, CONTINUED STAY AND DISCHARGE REQUIREMENTS


§ 5230.31. Admission requirements.

 (a)  General rule. To be eligible for PRS, an individual shall meet the following:

   (1)  Have a written recommendation for PRS by an LPHA acting within the scope of professional practice.

   (2)  Have the presence or history of a serious mental illness, based upon medical records, which includes one of the following diagnoses by an LPHA:

     (i)   Schizophrenia.

     (ii)   Major mood disorder.

     (iii)   Psychotic disorder (not otherwise specified).

     (iv)   Schizoaffective disorder.

     (v)   Borderline personality disorder.

   (3)  As a result of the mental illness, have a moderate to severe functional impairment that interferes with or limits performance in at least one of the following domains:

     (i)   Living.

     (ii)   Learning.

     (iii)   Working.

     (iv)   Socializing.

   (4)  Choose to receive PRS.

 (b)  Assessment. A PRS agency shall identify and document the functional impairment of the individual in an assessment as required under §  5230.61(b)(1) (relating to assessment).

 (c)  Exception. Individuals who do not meet the serious mental illness diagnosis requirement under subsection (a) may receive services when the following conditions are met:

   (1)  The written recommendation by the LPHA includes a diagnosis of mental illness that is listed on Axis I in the DSM-IV-TR or ICD-9 or subsequent revisions.

   (2)  The written recommendation by the LPHA includes a description of the functional impairment resulting from the mental illness as required under subsection (a)(3).



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