Sec. 205. Certification; quality review; plans of care
143 words·~1 min read·
/bill/113/hr/1200/ih/section-205·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
State health security programs may require, as a condition of payment for institutional health care services and other services of the type described in such sections 1814(a) and 1835(a) of the Social Security Act , periodic professional certifications of the kind described in such sections. For the requirement that each State health security program establish a quality review program that meets the requirements for such a program under title V, see section 404(b)(1)(H). A State health security program may require, consistent with standards established by the Board, that payment for services exceeding specified levels or duration be provided only as consistent with a plan of care or treatment formulated by one or more providers of the services or other qualified professionals.
Such a plan may include, consistent with subsection (b), case management at specified intervals as a further condition of payment for services.