Public Statement:
Effective Date:
a)
This policy
will apply to all services performed on or after the above Revision date which
will become the new effective date.
b)
For all
services referred to in this policy that were performed before the revision
date, contact customer service for the rules that would apply.
Most
QualChoice plans do not cover residential care; refer to your Benefit Summary.
If your plan
covers residential treatment for mental health and substance abuse disorders,
see BI449.
For CHI
covered enrollees see BI208
Residential
facilities may be legally constituted to provide medical and other services to
live-in residents. Programs that do not provide skilled medical services on a
daily basis are not covered under any circumstances. Examples of residential
facilities include, but are not limited to:
-
Substance
abuse after-care facilities
-
Spinal
cord, brain injury, independent living facilities
-
Adolescent psychiatric residential facility