United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2001_register executive 2010-09-24 article Rules and Regulations D09002ee1c81db492 D09002ee1c81db51e United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Health Care Financing Administration originator org United States Government Agency or Subagency On January 22, 2001, we published an interim final rule with comment period (66 FR 7148) that established a definition of a "psychiatric residential treatment facility" that is not a hospital and that may furnish covered Medicaid inpatient psychiatric services for individuals under age 21. The interim final rule established standards for the use of restraints or seclusion that psychiatric residential treatment facilities must have in place to protect the health and safety of residents. In response to some of the concerns submitted in comments on that interim rule, this document clarifies what facilities are subject to the requirements of the interim final rule, modifies reporting requirements to facilitate HCFA monitoring, and amends staffing requirements applicable to restraints and seclusion. Due to the operational significance of these issues, amendment to the interim final rule is required by the May 22, 2001 effective date of the interim final rule. Without such amendments, we are concerned that substantial numbers of facilities would not be able to comply with certain requirements of our interim final rule, and that beneficiaries will suffer needless displacement from those facilities. We are also concerned that HCFA will not be able to timely obtain data necessary to monitor for situations involving jeopardy to program beneficiaries. We will accept comments on these amendments, and will address all comments on the interim final rule and these amendments at a later date. 66 FR 28110 https://www.govinfo.gov/app/details/FR-2001-05-22/01-13041 01-13041 fr22my01-14 RIN 0938-AJ96 4120-01-P HCFA-2065-IFC2 https://www.govinfo.gov/app/details/FR-2001-05-22/01-13041 https://www.govinfo.gov/content/pkg/FR-2001-05-22/html/01-13041.htm https://www.govinfo.gov/content/pkg/FR-2001-05-22/pdf/01-13041.pdf Family Planning Grant Programs-Health Infants and Children Medicaid Penalties Reporting and Recordkeeping Requirements Health Facilities Health Professionals Health Records Medicare Nursing Homes Nutrition Safety 8 p. 28110 28117 66 FR 28110 Title 42 Part 441 42 CFR Part 441 Title 42 Part 483 42 CFR Part 483 RIN 0938-AJ96 Medicaid Program; Use of Restraint and Seclusion in Psychiatric Residential Treatment Facilities Providing Inpatient Psychiatric Services to Individuals Under Age 21; Federal Register Vol. 66, Issue RULE 01-13041 DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Care Financing Administration 2001-05-22 HCFA-2065-IFC2 4120-01-P 01-13041 Interim final rule; amendment and clarification with request for comment.

On January 22, 2001, we published an interim final rule with comment period (66 FR 7148) that established a definition of a "psychiatric residential treatment facility" that is not a hospital and that may furnish covered Medicaid inpatient psychiatric services for individuals under age 21. The interim final rule established standards for the use of restraints or seclusion that psychiatric residential treatment facilities must have in place to protect the health and safety of residents. In response to some of the concerns submitted in comments on that interim rule, this document clarifies what facilities are subject to the requirements of the interim final rule, modifies reporting requirements to facilitate HCFA monitoring, and amends staffing requirements applicable to restraints and seclusion. Due to the operational significance of these issues, amendment to the interim final rule is required by the May 22, 2001 effective date of the interim final rule. Without such amendments, we are concerned that substantial numbers of facilities would not be able to comply with certain requirements of our interim final rule, and that beneficiaries will suffer needless displacement from those facilities. We are also concerned that HCFA will not be able to timely obtain data necessary to monitor for situations involving jeopardy to program beneficiaries. We will accept comments on these amendments, and will address all comments on the interim final rule and these amendments at a later date.

Effective date: May 22, 2001. Mary Kay Mullen, (410) 786-5480. Family Planning Grant Programs-Health Infants and Children Medicaid Penalties Reporting and Recordkeeping Requirements Health Facilities Health Professionals Health Records Medicare Nursing Homes Nutrition Safety Medicaid: Psychiatric residential treatment facilities providing psychiatric services to individuals under age 21; use of restraint and seclusion, Vol. 66, no. 99 Office of the Federal Register, National Archives and Records Administration 2001-05-22 continuing daily deposited born digital 320 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2001-05-22 P0b002ee180a16cc8 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr22my01 https://www.govinfo.gov/app/details/FR-2001-05-22 https://www.govinfo.gov/content/pkg/FR-2001-05-22/pdf/FR-2001-05-22.pdf https://www.govinfo.gov/content/pkg/FR-2001-05-22/xml/FR-2001-05-22.xml fdlp 28049 28358 DGPO 2010-09-24 2024-06-08 FR-2001-05-22 machine generated eng FR FR-2001-05-22 66 99