10A NCAC 22G .0503. INPATIENT HOSPITAL: INAPPROPRIATE LEVEL OF CARE

The state agency may grant a maximum of three administrative days to arrange for discharge of a patient to a lower level‑of‑care.  With prior approval by the State Medicaid Agency, the hospital may be reimbursed for days in excess of the three administrative days at the state‑wide average rate for the particular level‑of‑care needed in the event a lower level‑of‑care bed in a Medicaid approved health care institution is not available.  The hospital must, however, make every effort to place the recipient in an appropriate institution within the three day administrative time allowance.

This policy applies to:

(1)           acute care hospitals;

(2)           mental hospitals;

(3)           speciality hospitals.

 

History Note:        Authority G.S. 108A‑25(b); 42 C.F.R. 447.253; S.L. 1985, c. 479, s. 86;

Eff. May 1, 1984.