Pa. Code 89.621

This regulation specifies the facility requirements for inpatient detoxification services to qualify as a covered benefit under Pennsylvania insurance law. Covered inpatient detox must be provided in one of four facility types: a licensed hospital with detox services, a licensed psychiatric hospital with drug and alcohol detox activities, a freestanding treatment facility with short-term detox licensure and a hospital affiliation agreement, or a certified health care facility with short-term detox certification and a hospital affiliation agreement. All facilities must meet Department of Health minimum standards for client-to-staff ratios and staff qualifications.

31 Pa. Code § 89.621 - Inpatient detoxification services 

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Inpatient detoxification services which are included as a
 covered benefit under Article VI-A of the act (40 P. S. §§
 908-1-908-8) shall be provided in a facility which meets Department of Health
 minimum drug and alcohol standards for client-to-staff ratios and staff
 qualifications and which is one of the following:

(1)
 A hospital licensed under 28 Pa. Code
 Chapter 157 (relating to drug and alcohol services) and complying with
 §§157.21-157.25 (relating to inpatient hospital
 activities-detoxification).

(2)
 A
 psychiatric hospital licensed under 28 Pa. Code Chapter 709 Subchapter K
 (relating to standards for inpatient hospital drug and alcohol activities
 offered in a freestanding psychiatric hospital) and complying with
 §709.122 (relating to detoxification).

(3)
 A freestanding treatment facility
 licensed under 28 Pa. Code Chapter 709 (relating to standards for licensure of
 freestanding treatment facilities) and complying with 28 Pa. Code Chapter 709,
 Subchapter F (relating to standards for inpatient nonhospital
 activities-short-term detoxification) and which has a written affiliation
 agreement with a hospital for emergency, medical and psychiatric or
 psychological support services.

(4)

 A health care facility issued a certificate of compliance under 28 Pa. Code
 Chapter 711 (relating to standards for certification of treatment activities
 which are a part of a health care facility) and complying with 28 Pa. Code
 Chapter 711, Subchapter E (relating to standards for inpatient nonhospital
 activities-short-term detoxification) and which has a written affiliation
 agreement with a hospital for emergency, medical and psychiatric or
 psychological support services.

Notes

31
 Pa. Code §
 
89.621

The
 provisions of this § 89.621 adopted March 25, 1988, effective
 
3/26/1988
, 18 Pa.B.
 1360.

The provisions of this § 89.621 issued under
 sections 206, 506, 1501 and 1502 of The Administrative Code of 1929
 (
71
 P. S. §§
 
66
,
 
186
,
 
411
 and
 
412
); and The Insurance
 Company Law of 1921 (
40 P. S. §§
 
341
-
391
).

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