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UNOFFICIAL 1737-14 mental impairment shall be required to enter into outpatient treatment. They shall also be required to be medically evaluated by a physician to eliminate the possibility that their mental impairment is due to a physical illness.
(b)The medical evaluation may include and shall be limited…#
(b) The medical evaluation may include and shall be limited to: (1) History and physical examination; (2) Complete blood count (CBC), urinalysis, and SMAC 20 or its equivalent; and (3) Additional tests or further studies may be done if they are medically indicated. Justification for further studies shall be provided to the department's medical or psychiatric consultant upon the department's request.
(c)The medical evaluation shall be completed no later than…#
(c) The medical evaluation shall be completed no later than four weeks from the date of approved benefits. The result of the medical evaluation shall be submitted to the branch or unit requesting the information. The medical evaluation shall indicate whether the mental impairment was or was not due to a physical illness. [Eff 08/01/94 ] (Auth: HRS §364-14; 42 C.F.R. §430.10) (Imp: 42 C.F.R. §405.231)
§17-1737-17 Psychiatric service and treatment. (a) Psychiatric service shall be allowed where: (1) It is provided under an individualized treatment or diagnostic plan which may be revised during treatment if necessary. (2) Psychiatric service furnished without a planned program of therapy does not
constitute treatment and is not reimbursable; and (3) There is a reasonable expectation that service will improve the patient's condition. If the patient's condition is not altered after the authorized outpatient visits in the authorized period of treatment the frequency and number of subsequent outpatient visits requested may be reduced.
(b) A psychiatrist shall serve as a source of information and guidance when psychiatric service is provided by authorized mental health therapeutic teams;
(c) Drug management alone shall not be considered psychiatric care but shall be considered general medical care. Payments for drug management shall be made to: