Policy Prism AI

Behavioral Health

Federal category

Behavioral Health

Requirements about psychiatric, restraint, seclusion, mental-health, and behavioral-health services.

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Source collection

Federal

Category group

Clinical Services

Category

Behavioral Health

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Instruments

11

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50

Instrument

Citation

42 CFR § 424.14

In Behavioral HealthMedical Records

Requirements for inpatient services of inpatient psychiatric facilities.

This provision outlines the specific physician certification and recertification requirements for Medicare payment for inpatient psychiatric facility services.

Group

Payment Program Integrity

Category

Reimbursement Payment

Domain

Behavioral Health

Topics

Psychiatric inpatient certification, Medicare psychiatric services

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Citation

42 CFR § 424.24

In Behavioral HealthRehabilitation Therapy

Requirements for medical and other health services furnished by providers under Medicare Part B.

This provision outlines the physician certification and recertification requirements for various outpatient services, including therapy, intensive outpatient, and partial hospitalization programs.

Group

Payment Program Integrity

Category

Reimbursement Payment

Domain

Billing Reimbursement

Topics

Medicare part b certification, Outpatient service certification

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Citation

42 CFR § 424.67

In Behavioral Health

Enrollment requirements for opioid treatment programs (OTP).

This provision establishes the Medicare enrollment requirements, screening standards, and compliance obligations for opioid treatment programs.

Group

Payment Program Integrity

Category

Provider Enrollment

Domain

Behavioral Health

Topics

Opioid treatment program enrollment, Medicare provider enrollment

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