Pa. Code 89.623

This regulation specifies that outpatient alcohol services covered as a benefit under Pennsylvania's insurance law must be provided in one of three facility types: a freestanding treatment facility licensed under 28 Pa. Code Chapter 709 meeting outpatient standards, a psychiatric hospital licensed under the same chapter, or a health care facility with a certificate of compliance under 28 Pa. Code Chapter 711 meeting outpatient standards. Facility operators must ensure their licensure or certification status aligns with one of these three categories to qualify for coverage of outpatient alcohol services.

31 Pa. Code § 89.623 - Outpatient services 

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Outpatient alcohol 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 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 Chapter 709 Subchapter I (relating to standards for outpatient
 activities).

(2)
 A psychiatric
 hospital licensed under 28 Pa. Code Chapter 709.

(3)
 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 H (relating to
 standards for outpatient activities).

Notes

31
 Pa. Code §
 
89.623

The
 provisions of this § 89.623 adopted March 25, 1988, effective
 
3/26/1988
, 18 Pa.B.
 1360.

The provisions of this § 89.623 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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