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Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 140.360. Inpatient psychiatric hospital admission. (a) The department will not pay for inpatient psychiatric hospital services unless the department has authorized the recipient’s admission. Before the department will authorize admission, the department will verify that the requirements of (b) and (c) of this section are met. (b) Upon admission, an inpatient interdisciplinary team that meets the requirements of (d) of this section must

(1) complete a diagnostic evaluation that

(A) includes a psychiatric assessment;

(B) is performed no more than 60 days before admission or no more than 72 hours after admission; and

(C) indicates the need for inpatient psychiatric services;

(2) certify in the recipient’s medical record that

(A) available alternate community resources for ambulatory care do not meet the treatment needs of the recipient, if the recipient is under 21 years of age;

(B) proper treatment of the recipient’s psychiatric condition requires services on an inpatient basis, as appropriate; and

(C) inpatient psychiatric services can reasonably be expected to improve the recipient’s condition or prevent further regression;

(3) provide to the department

(A) the results of the diagnostic evaluation required in (1) of this subsection;

(B) the results of a functional assessment;

(C) the results of any direct patient observations and assessments obtained following the recipient’s referral; and

(D) other information from referral sources, other community agencies, and the family, that is relevant to the recipient’s condition; and

(4) develop a plan of care based upon the information provided under this subsection that meets the requirements of 7 AAC 140.365.