This chapter will discuss both the process of referral in long-term care settings and the kinds of referrals psychologists typically get in these settings. The emphasis will be on nursing homes, but mention will be made of assisted-living facilities, retirement residences and other settings, especially when there appear to be differences between these settings and nursing homes.
The Referral Process
The process of referral is complex for at least two reasons. First, different insurance carriers have different requirements and procedures for referral; second, nursing homes and, to a lesser extent, other long-term care settings are heavily regulated by state and federal law.
The primary insurer for most residents of long-term care is Medicare, which includes coverage for psychological services under Part B. Depending on the local carrier, there is some variability in how Medicare Part B is administered across the country. Carriers are private insurance companies...
KeywordsChronic Obstructive Pulmonary Disease Behavior Problem Nursing Home Medical Illness Cognitive Disorder
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