(a) Discharge. When the inpatient reviewer determines that a child in Oklahoma Department of Human Services (OKDHS) custody no longer meets medical necessity criteria for inpatient mental health treatment and when the attending physician agrees to discharge, the child is discharged and placed in an appropriate placement with consideration of the inpatient mental health treatment staff’s recommendation. • 1
(b) Reconsideration. A request for reconsideration of the decision of the inpatient reviewer is made to APS Healthcare for the child in OKDHS custody who is denied continued inpatient mental health treatment or no longer meets medical necessity criteria for inpatient treatment, but the therapist or physician does not agree to the child's discharge. • 2
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(1) Reconsideration request upheld. When APS Healthcare upholds the reconsideration request, the child remains inpatient.
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(2) Reconsideration request denied. When APS Healthcare denies the reconsideration request, the CW county of jurisdiction worker requests a court order, with notice to the child's attorney, ordering the child to remain in the specific facility for continued inpatient mental health treatment.
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(A) When the court agrees to continued inpatient mental health treatment, the child remains inpatient until the court rules the child no longer requires inpatient treatment. A copy of the court order is faxed to the program staff of Children and Family Services Division Residential, Placement, and Behavioral Health Services.
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(B) When the court does not agree to continued inpatient mental health treatment, the CW worker arranges placement, considering the therapist's or physician's recommendation that the child remain in inpatient mental health treatment even though the child no longer meets medical necessity criteria.