HI 00601.095 Patient's Status in Applying Reduction

A patient who is in a participating psychiatric hospital on the first day of their entitlement is subject to the inpatient psychiatric reduction. The reduction applies to patients admitted to or discharged from such a hospital on their first day of entitlement, or who begin or end a leave of absence on that day. Where only a distinct part of an institution is participating as a psychiatric hospital, the provision applies only to patients who, on their day of entitlement, are inpatients of that part.

The provision does not apply to persons who are receiving inpatient diagnostic or therapeutic services for a psychiatric condition in a general hospital on their first day of entitlement. It also does not apply to patients who, on that day, are inpatients of a psychiatric institution's medical-surgical facility, if that facility is participating as a general hospital.