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27.1 Institutions 27.1.1 Institutions Introduction For Medicaid purposes, "institution” means medical institution. A medical institution can be, but is not limited to, skilled nursing facilities (SNF), intermediate care facilities (ICF), institutions for mental disease (IMD), and hospitals. Medical institution means a facility that: 1. Is organized to provide medical care, including nursing and convalescent care, 2. Has the necessary professional personnel, equipment, and facilities to manage the medical, nursing, and other health needs of patients on a continuing basis in accordance with accepted standards, 3. Is authorized under State law to provide medical care, and, 4. Is staffed by professional personnel who are responsible to the institution for professional medical and nursing services. 27.1.2 Institutions for Mental Disease IMDs are medical institutions that care for persons with mental illness. See the list of IMDs (27.11 INSTITUTIONS FOR MENTAL DISEASE (IMDS)). 27.1.2.1 Eligible Age IMD residents under age 21 and over age 64 may be Medicaid eligible. Persons aged 21 through 64 are not eligible unless: 1. They are receiving residential substance use disorder treatment in the IMD; or 2. They were IMD residents immediately prior to turning age 21. If they were, they are eligible until discharge (a 21 year old can be transferred from one IMD into another and remain eligible for Medicaid) or until turning age 22, whichever comes first. 27.1.2.2 Temporary Leave A person aged 21 through 64 who is not eligible for Medicaid can go on conditional release from an IMD or convalescent leave and become eligible for Medicaid while on leave. 1. Conditional release means a temporary release from an IMD for a trial period of residence in the community. a. The trial period must last no less than four days. It must be no longer than 30 days. b. The trial period begins after the initial three days of community residence following discharge. c. A person under age 22 who leaves the IMD for a trial period remains eligible as an IMD resident until he or she is unconditionally released from the IMD, or turns 22, whichever comes first. 2. For purposes of Medicaid, conditional release is permitted only once every calendar year. 3. Convalescent leave means a period of time following inpatient admission of a resident of an IMD to a general hospital for the purpose of treatment for a physical medical condition of a severity which medically contraindicates treatment of the condition in the IMD. A person under age 22