Inpatient Psychiatric Services. Including professional fees; comprehensive psychiatric assessment (includes assessing for trauma, co-morbid conditions, in particular, substance use disorders, and domestic violence/ environmental safety concerns) and diagnosis; neurological and/or psychological testing; individual, group and family psychotherapy; activity therapy; dietary and specialized nutritional services; medication management/stabilization, if indicated; laboratory and other tests relating to mental health diagnosis and treatment; discharge planning to include coordination of transportation; court hearing expert witness testimony, if required; coordination and service site for probate court hearings for PAYOR’S CONSUMERs; routine sharing of referral and clinical information and coordination of care with the CONSUMER’s primary physician and PAYOR’S staff and any other PROVIDER under contract to the PAYOR, as authorized by the CONSUMER. All CONSUMERs admitted into the PROVIDER’s inpatient services shall have access to the same quality of services that are provided to PROVIDER’s other patients. Only Board-certified and/or Board-eligible psychiatrists, who meet the PROVIDERS’s credentialing and privileging requirements, will serve as the PROVIDERS’s admitting and attending physicians for CONSUMERs hereunder in the PROVIDERSs inpatient care unit. The PAYOR is the single-entry point for all psychiatric hospitalizations of its CONSUMERs who are enrolled in Medicaid or are indigent. Any relocation of such CONSUMERs hereunder involving the PROVIDER and another inpatient facility must have the prior approval of the PAYOR. SERVICE CODES and RATES Medicaid Application: The PROVIDER shall make reasonable documented attempts that uninsured CONSUMERS apply for benefits, including Medicaid, and that PAYOR required Ability to Pay (ATP) forms are completed. The PROIVDER and PAYOR shall cooperate and coordinate efforts as necessary. The PROVIDER shall maintain a record for review by the PAYOR that applications and required forms have been completed. If CONSUMER does not agree to provide information to complete the ATP assessment, the PROVIDER shall bill the CONSUMER for the full amount of the services received but may also direct the CONSUMER to the PAYOR to coordinate the completion of the ATP assessment. PROVIDER agrees to cooperate and provide demographic and insurance information gathered during admission on a case-by-case basis as needed in order to assist the PAYOR in completing the CONSUMERS ATP...
Inpatient Psychiatric Services. Including professional fees; comprehensive psychiatric assessment (includes assessing for trauma, co-morbid conditions, in particular, substance use disorders, and domestic violence/ environmental safety concerns) and diagnosis; neurological and/or psychological testing; individual, group and family psychotherapy; activity therapy; dietary and specialized nutritional services; medication management/stabilization, if indicated; laboratory and other tests relating to mental health diagnosis and treatment; discharge planning to include coordination of transportation; court hearing expert witness testimony, if required; coordination and service site for probate court hearings for PAYOR’S CONSUMERs; routine sharing of referral and clinical information and coordination of care with the CONSUMER’s primary physician and PAYOR’S staff and any other PROVIDER under contract to the PAYOR, as authorized by the CONSUMER.
Inpatient Psychiatric Services. CONTRACTOR is responsible for ensuring access to inpatient psychiatric emergency service when a beneficiary (under the age of 21) has been determined to meet criteria for involuntary hospitalization as a danger to self and/or danger to others, or gravely disabled. The CONTRACTOR’s Medical Director maintains contact with the inpatient psychiatric hospital to oversee length of stay and ensure timely coordination of aftercare services (both therapeutic and psychiatric).
Inpatient Psychiatric Services. 1. Inpatient Psychiatric Services includes, but is not limited to, the following services when ordered by a Beneficiary's responsible physician or other qualified health practitioner and rendered in accordance with Title 22 of the California Code of Regulations to a Beneficiary, subject, however, to such exclusions, limitations, exceptions, and conditions as are otherwise set forth in any provision of this agreement or any Exhibit hereto:
a. Semi-private room accommodations including bed, board, and related services.
b. 24-hour nursing care.
