What questions should I ask my doctor before choosing inpatient rehab?
NYS OASAS, in partnership with National Center on Addiction and Substance Abuse at Columbia University (CASAColumbia), developed the Level of Care for Alcohol and Drug Treatment Referral (LOCADTR) 3.0, a web-based tool, to assist substance abuse treatment providers, Medicaid Managed Care plans, and other referral sources in determining the most appropriate level of …
When to discharge a patient from an inpatient or residential facility?
completes a LOCADTR that indicates inpatient is the recommended level of care, the inpatient provider should receive the report with the referral and can use this report to support the LOC decision. Step-downs from one level of care to another should include a completed LOCADTR to ... through the answers to the LOCADTR questions and determine ...
What is inpatient and residential treatment?
Oct 25, 2017 · Ultimately the decision is yours to make with your doctor. Before you decide for or against inpatient rehab, and before you choose a center, ask your doctor these four important questions: 1. What outcome can I reasonably expect if I go through inpatient rehab? Three years ago, I was involved in a serious car accident.
Is there a locadtr level of care program?
If Inpatient Rehabilitation is not recommended, then they should be referred to the appropriate level of care. Please fax these documents to (518)-891-3986. 2. We will call your referral when we receive this paperwork and will schedule a phone screening with the patient. The phone screening takes 15-30 minutes and is the admissions interview.
What is inpatient rehab?
Inpatient rehab can vastly improve recovery after a serious injury or health event. After a serious injury or massive medical event, such as a car accident, stroke, or traumatic brain injury, patients can be left feeling like a shell of their former self. They might be unable to speak, walk, or move their arms or legs.
What is the importance of education in rehab?
In order to recover, it’s important to understand exactly what happened to you and what has to happen for your body to heal. During your stay, we offer classes on your condition for you and your family.
What is UT Southwestern?
UT Southwestern offers one of the nation's premier neurological hospital treatment centers. The mission of the Rehabilitation Program is to help patients achieve the highest level of independence, while providing attentive and personalized care using the most advanced therapies available.
What is a bio assessment?
An assessment is referred to as a bio/psycho/social assessment. If the patient has had any treatment for addiction, documentation from that provider will be helpful. Along with that we require a PPD (tuberculosis skin test) and a regular physical performed in the past year, including any labs.
How long does it take to get treatment for substance abuse?
Inpatient substance disorder use treatment is typically 14-28 days and is based on medical necessity. A patient’s progress in treatment is documented and reported to the insurance company and they determine the length of treatment.
What is inpatient rehabilitation?
Inpatient rehabilitation is an acute level of care. Individuals in need of this level of care have serious medical or psychiatric symptoms that interfere with their ability to stabilize in lower levels of care or use substances in ways that put them at high risk of imminent harm to self or others, and have few resources to manage urges, cravings, and triggers to use in their environment. The purpose of this level of care is to:
What is continuing care in substance abuse?
Continuing care is described as “the immediate period after a … period of substance abuse treatment designed to support an individual’s recovery through provision of formal supports such as relapse prevention services. These supports are combined with informal community-based recovery supports, such as participation in 12-Step programs, church, or other activities that support the recovery process.”
Why did you ask to not go on a pass?
The individual for whom you are answering has learned some coping skills, but asked to not go on a pass because he feared he would relapse. In this example, the answer to cr_rh2 is “no.”
What is the Concurrent Review module?
The Concurrent Review module requires the same patient identifying information required in the LOCADTR 3.0. This includes: client first and last name; gender; social security number; and, date of birth. Optional fields are available to capture the client’s Medicaid ID and Unique Client ID number as well. For a detailed description of each of these variables, see page 12 of the LOCADTR 3.0 manual.
What is the purpose of preliminary assessment?
The purpose of the preliminary assessment is to determine if a higher level of care is #N#needed, if the current level of care continues to be necessary, and to identify any #N#immediate needs. #N#
Can an individual live independently?
Based on the example above, you would answer “yes” to this question. The individual does not have the skills or resources to live independently, but can manage symptoms within a community based residential setting.
What happens if you don't meet the criteria for continued stay?
If the individual does not meet the criteria for continued stay, the application will direct the user to start a new LOCADTR.
What is OASAS in addiction?
The Office of Addiction Services and Supports (OASAS) has created an online tool to make recommendations as to the appropriate level of care for individuals in need of substance use disorder treatment based on an individual's risks and resources.
What is ASAM in BCBS?
For Substance Use Disorder Partial Hospital Program requests outside of New York State, Excellus BCBS uses the ASAM Criteria to complete medical necessity reviews . The ASAM criteria is the most widely used and comprehensive set of guidelines for placement, continued stay and transfer/discharge of patients with addiction and co-occurring conditions in the United States.
