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Title 38: Pensions, Bonuses, and Veterans' Relief
CHAPTER I: DEPARTMENT OF VETERANS AFFAIRS
PART 17: MEDICAL
: Civilian Health and Medical Program of the Department of Veterans Affairs (champva)-Medical Care for Survivors and Dependents of Certain Veterans
17.273 - Preauthorization.
Preauthorization or advance approval is required for any of the following:
(a) Non-emergent inpatient mental health and substance abuse care including admission of emotionally disturbed children and adolescents to residential treatment centers.
(b) All admissions to a partial hospitalization program (including alcohol rehabilitation).
(c) Outpatient mental health visits in excess of 23 per calendar year and/or more than two (2) sessions per week.
(d) Dental care.
(e) Durable medical equipment with a purchase or total rental price in excess of $2,000.
(f) Organ transplants.
(Authority: 38 U.S.C. 501, 1781)
[63 FR 48102, Sept. 9, 1998, as amended at 74 FR 31374, July 1, 2009]
