(1) PRTF services must include active treatment designed to achieve the youth's discharge to a less restrictive level of care at the earliest possible time.

(2) PRTF services must be provided under the direction of a licensed physician.

(3) The PRTF plan of care must be comprehensive and address all psychiatric, medical, educational, psychological, social, behavioral, developmental, and chemical dependency treatment needs.

(4) PRTF services include only treatment or services provided in accordance with all applicable licensure, certification, and accreditation requirements, and these rules.

(5) In addition to the requirements in (4) that pertain to discharge planning the following activities are required. The PRTF must:

(a) develop a discharge plan within 30 days of admission that identifies the youth and family's needed services and supports upon discharge:

(i) the discharge plan must address psychiatric, medical, educational, psychological, social, behavioral, developmental, and chemical dependency treatment needs, as appropriate.

(b) identify the community to which the youth will discharge;

(c) make referrals for needed services and supports upon discharge, no less than 30 days before discharge; and

(d) work with the youth's parent or legal guardian in making agreed upon discharge plans and referrals for needed services.

(6) If appropriate arrangements for services upon discharge are not made as required in (5) the PRTF may be at risk of losing its enrollment in the Montana Medicaid program.

(7) As part of the discharge planning requirements, PRTFs shall ensure the youth has a seven-day supply of needed medication and a written prescription for medication to last through the first outpatient visit in the community with a prescribing provider. Prior to discharge, the PRTF must identify a prescribing provider in the community and schedule an outpatient visit. Documentation of the medication plan and arrangements for the outpatient visit must be included in the youth's medical record. If medication has been used during the youth's PRTF treatment but is not needed upon discharge, the reason the medication is being discontinued must be documented in the youth's medical record.