Pediatric Subacute Care Services.

(a)

Pediatric subacute care services are a type of skilled nursing facility service, provided in a pediatric subacute care unit which meets the requirements of Sections 51215.6, 51215.8, 51215.9, 51215.10 and 51215.11.

(b)

Pediatric subacute care services provided in a pediatric subacute unit in a licensed skilled nursing facility are covered pursuant to the requirements specified in Sections 51124.6 and 51335(a) through (e) and (g) excepting (b)(1), (c)(1), (f), (h), (j), (k), (l), and (m).

(c)

A Treatment Authorization Request shall be required for each admission to a subacute unit caring for pediatric patients, and may be granted for a period of up to six months and reauthorized for a period of up to six months. A separate Treatment Authorization Request shall be required for supplemental rehabilitation therapy services as provided for in Section 51215.10(i) through (m), and for ventilator weaning, as provided for in Section 51215.11. Authorization requests shall be initiated by the facility.

(d)

Pediatric subacute bedhold days will be authorized in accordance with Section 51535.1.

(e)

Leave of absence for a Medi-Cal beneficiary in the pediatric subacute unit will be authorized in accordance with Section 51535.

(f)

Pediatric subacute services shall be covered only when care is provided in the pediatric subacute unit of the nursing facility.