§456.380. Individual written plan of care.

42 C.F.R. § 456.380

(a)

Before admission to an ICF or before authorization for payment, a physician must establish a written plan of care for each applicant or beneficiary.

(b)

The plan of care must include—

(1)

Diagnoses, symptoms, complaints, and complications indicating the need for admission;

(2)

A description of the functional level of the individual;

(3)

Objectives;

(4)

Any orders for—

(i)

Medications;

(ii)

Treatments;

(iii)

Restorative and rehabilitative services;

(iv)

Activities;

(v)

Therapies;

(vi)

Social services;

(vii)

Diet; and

(viii)

Special procedures designed to meet the objectives of the plan of care;

(5)

Plans for continuing care, including review and modification of the plan of care; and

(6)

Plans for discharge.

(c)

The team must review each plan of care at least every 90 days.

Notes, amendments, and revision history

Authority: 42 U.S.C. 1302.

Source: 43 FR 45266, Sept. 29, 1978, unless otherwise noted.