B6 Subacute Facility (17+ Beds)
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B6 Subacute Facility (17+ Beds)
Click here to see this page in full context
 

B6 Subacute Facility (17+ Beds)

 

 

Revised 01/31/2025

Policy

In-patient treatment facility that provides mental health services and treatment.

Requirement

Yes/No

Risk Level

Limited

Enrollment Fee 

Yes

Fingerprint Clearance Background Check (FCBC)

No

National Provider Identifier (NPI)

Yes

Site Visit

No

Electronic Funds Transfer (EFT)

Yes

 

Enrollment and Categories of Service (COS)

Enrollment type: Facility/Agency/Organization (FAO)
Reimbursement type: 02 Non-Contracted Fee For Service (FFS)

Categories of Service (COS)

License/Certification for COS

COS Mandatory or Optional

10 Inpatient Hospital

  • Arizona Department of Health Services (ADHS)/Behavioral Health Services (BHS) Level I Facility

  • The Joint Commission (TJC), Council of Accreditation (COA) or Commission on Accreditation of Rehabilitation (CARF) Accreditation

Mandatory

47 Mental Health

 

Mandatory

31 Non-Emergency Medical Transportation (NEMT)

Vehicle Insurance

Optional

40 Medical Supplies

 

Optional

45 Rehabilitation

 

Optional

 

Legal Authorities

42 CFR 455.12   
AAC R9-22-1205