Cal. Code Regs. tit. 9 § 592

Current through Register 2024 Notice Reg. No. 52, December 27, 2024

Section 592 - Documentation and Reporting

Utilization review activities shall be documented, including review of administrative days, in accordance with the Department's Requirements and Procedures. In accordance with the Requirements and Procedures, special circumstances justifying administrative days must be documented, aggregated and reported quarterly to the local mental health director. These reports shall address the following factors of utilization:

(a) number of inpatients who do not meet the test of medical necessity;

(b) number of patient-days so used; and

(c) reasons other than medical necessity that inpatient care is required. Documentation of administrative days must reflect continuing efforts to resolve the circumstances preventing discharge.

Cal. Code Regs. Tit. 9, § 592

1. New section filed 3-14-84 as an emergency; effective upon filing (Register 84, No. 13). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 7-12-84. For history of former section, see Register 84, No. 9.
2. New section refiled 4-27-84; effective upon filing pursuant to Government Code Section 11346.2(d) (Register 84, No. 18).

Note: Authority cited: Section 4073, Welfare and Institutions Code. Reference: Sections 4070 and 5624, Welfare and Institutions Code.