Reimbursement of inpatient facility services X to hospitalized members For X with a principal members X For a physical health determined For a CRS X X X CRS X X X diagnosis. to have related related SMI who condition Reimbursement is condition are unrelated to the bed or integrated floor where the member is placed. X For Reimbursement of X members X outpatient observation For a determined For a CRS services with a principal X X X CRS X X X to have related related physical health SMI who condition condition diagnosis. are integrated
Reimbursement of inpatient facility services to hospitalized members with a principal physical health diagnosis. Reimbursement is unrelated to the bed or floor where the member is placed. X X For members determined to have SMI who are integrated X X For a CRS related condition X X For a CRS related condition X X X Reimbursement of outpatient observation services with a principal physical health diagnosis. X X For members determined to have SMI who are integrated X X For a CRS related condition X X For a CRS related condition X X X