CSHCN 2008 > Hospital > Benefits and Limitations

18.3.2.1 Exceptions

Acute Medical Episodes

If a client develops an acute medical condition during an inpatient rehabilitation admission that prevents participation in rehabilitation program activities, the CSHCN Services Program must not be billed for inpatient rehabilitation services. Acute care (whether inpatient or outpatient) that are a benefit of the CSHCN Services Program may require authorization or prior authorization and must be billed as acute care services.

Refer to: Section 18.4, "Authorization Requirements," on page 18-12 for additional information.