Medical Rehabilitation Program

Utilization Management

Policies and Procedures

 

Utilization Management Plan – Executive Summary               Pages 1-6

 

RESIDENTIAL MEDICAL REHABILITATION

 

CORF Residential  
Policy #DescriptionEffective DateRevision Date
1.00CORF Admission Criteria—Rothrock HallApril 1997Sept 2015
1.01CORF Continuation CriteriaJanuary 1997Sept 2015
1.02CORF Discharge CriteriaJanuary 1997Sept 2015
1.03CORF Admission/Discharge ProcessFebruary 1997Sept 2015
1.04Medical Rehab Team ConferencesFebruary 1997Sept 2015

 

 

Admission

  
Policy #DescriptionEffective DateRevision Date
2.00Utilization Review: Medicare/Medicaid Documentation for Medical Rehab Program Clients January 2002Sept 2015
2.01Outpatient Clinic AdmissionsJanuary 2001Sept 2015
2.02 Community Outpatient AdmissionsJanuary 2001Sept 2015
2.03Residential Outpatient AdmissionsJanuary 2001Sept 2015
2.04Wheelchair/AT Evaluation ServicesJanuary 2001Sept 2015
2.05Mobile ServicesJanuary 2001Sept 2015
2.06Brain Injury ServicesOctober 2001Retired May 2009
2.07Neuropsychology LaboratoryJune 2001April 2015
2.08Medical Psychology/Neuropsychology April 2015Retired May 2009
2.09Physician Orders for Audiology ServicesAugust, 2002May 2009

 

 

Discharge

  

Policy #

Description

Effective Date

Revision Date

3.01Outpatient Clinic DischargeJanuary 2001Nov 2014
3.02Community Outpatient DischargeJanuary 2001Sept 2015
3.03Residential Outpatient DischargeJanuary 2001Sept 2015
3.04Brain Injury Services DischargeOctober 2001Retired May 2009

Case Management/Service Coordination

 

  

Policy #

Description

Effective Date

Revision Date

4.01Non-Residential MultiDisciplinary June 2001Sept 2015
4.02Non-Residential Single Service June 2001Nov 2014
4.03Residential Non-Medical Rehab Program Case ManagementJune 2001Sept 2015
4.04Outside MD CommunicationJune 2001Sept 2015
4.05Assistive Technology Case ManagementOctober 1999Nov 2014

Documentation

 

  

Policy #

Description

Effective Date

Revision Date

5.01

Physician Orders

June 2001

Sept 2015

5.02

Routing of Physician Orders—merged with #5.01

June 2001

Merged with 5.01 May 2009

5.03

Medical Rehabilitation Program Documentation

January 2001

Sept 2015

General Operations

 

Policy #Description​Effective Date​Revision Date

6.01

Hours of Operation

June 2001

Sept 2014

6.02

Personnel Qualifications

January 2001

Sept 2014