Pa. Code 89.622

This regulation specifies the facility requirements for nonhospital residential drug and alcohol treatment and rehabilitation services to qualify as a covered insurance benefit under Pennsylvania law. Covered services must be provided in a facility that meets Department of Health minimum standards for client-to-staff ratios and staff qualifications, and must be either a freestanding treatment facility licensed under 28 Pa. Code Chapter 709 or a health care facility certified under 28 Pa. Code Chapter 711, each complying with the applicable residential treatment and rehabilitation subchapter. Operators must ensure their facility holds the appropriate license or certificate of compliance to receive coverage under Article VI-A.

31 Pa. Code § 89.622 - Nonhospital, residential treatment and rehabilitation services 

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Nonhospital, residential treatment and rehabilitation
 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 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 E (relating to standards for inpatient nonhospital
 activities-residential treatment and rehabilitation).

(2)
 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 D (relating to
 standards for inpatient nonhospital activities-residential treatment and
 rehabilitation).

Notes

31
 Pa. Code §
 
89.622

The
 provisions of this § 89.622 adopted March 25, 1988, effective
 
3/26/1988
, 18 Pa.B.
 1360.

The provisions of this § 89.622 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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