Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); mental health services--DoD. Final rule.
This final rule is to reform CHAMPUS quality of care standards and reimbursement methods for inpatient mental health services. The rule updates existing standards for residential treatment centers (RTCs) and establishes new standards for approval as CHAMPUS-authorized providers for substance use disorder rehabilitation facilities (SUDRFs) and partial hospitalization programs (PHPs); implements recommendations of the Comptroller General of the United States that DoD establish cost-based reimbursement methods for psychiatric hospitals and residential treatment facilities; adopts another Comptroller General recommendation that DoD remove the current incentive for the use of inpatient mental health care; and eliminates payments to residential treatment centers for days in which the patient is on a leave of absence.
D003631:Day Care, Medical / Q000592:standards; D006077:Government Agencies; D006264:Health Benefit Plans, Employee / Q000191:economics / Q000331:legislation & jurisprudence* / Q000592:standards; D006778:Hospitals, Psychiatric / Q000191:economics / Q000592:standards*; D008887:Military Medicine / Q000191:economics* / Q000331:legislation & jurisprudence; D011567:Psychiatric Department, Hospital / Q000191:economics / Q000592:standards*; D011787:Quality of Health Care / Q000331:legislation & jurisprudence*; D012051:Reimbursement Mechanisms / Q000331:legislation & jurisprudence; D016320:Substance Abuse Treatment Centers / Q000592:standards; D014481:United States