Acute physical medicine and rehabilitation (acute PM&R) is a twenty-four-hour inpatient comprehensive program of integrated medical and rehabilitative services provided during the acute phase of a client's rehabilitation. The department requires prior authorization for acute PM&R services. (See WAC
388-550-2561 for prior authorization requirements.)
(1) An interdisciplinary team coordinates individualized acute PM&R services at a department-approved rehabilitation hospital to achieve the following for a client:
(a) Improved health and welfare; and
(b) Maximum physical, social, psychological and educational or vocational potential.
(2) The department determines and authorizes a length of stay based on:
(a) The client's acute PM&R needs; and
(b) Community standards of care for acute PM&R services.
(3) When the department's authorized acute period of rehabilitation ends, the hospital provider discharges the client to the client's residence, or to an appropriate level of care. Therapies may continue to help the client achieve maximum potential through other department programs such as:
(a) Home health services;
(b) Nursing facilities;
(c) Outpatient physical, occupational, and speech therapies; or
(d) Neurodevelopmental centers.
[Statutory Authority: RCW 74.08.090 and 74.09.500. 07-12-039, § 388-550-2501, filed 5/30/07, effective 8/1/07. Statutory Authority: RCW 74.08.090, 74.09.520 and 42 C.F.R. 482.56. 03-06-047, § 388-550-2501, filed 2/28/03, effective 3/31/03. Statutory Authority: RCW 74.08.090 and 74.09.520. 99-17-111, § 388-550-2501, filed 8/18/99, effective 9/18/99.]