Rehabilitation Medicine - Discharge & Post Discharge Planning

Our Goals for you while you are in the rehabilitation unit are to:

• to increase your functional level of independence.
• to prepare you and your family for a safe discharge home.

Discharge planning is a process that begins on admission with your case manager. Your case manager will review you and your family:

• your discharge goal
• discharge options
• available community resources

Transportations ( guidelines for services):

1. Medicare:
• Does not provide ambulette service.
• Provides ambulance service only when medical necessity applies as determined by Medicare regulations.
2. Managed Medicare: pre-authorization is required from your insurance carrier.
3. Medicaid: will provide the mode of transportation that meets your medical needs as determined by the medicaid Transportation (livery cab service, ambulate, ambulance) regulations.
4. Commercial/Private Insurance: pre-authorization is required from your insurance carrier.
5. Private Pay: when cost of services is paid by the patient or family.

(Transportation Services will be discussed by the case manager with you and your family/ Once reviewed and authorized, arrangements will be made by the case manager.)

Post Discharge Services

Outpatient Services (both adult and pediatric):

Physical Therapy, Occupational Therapy, Speech and Language Pathology, and Neuropsychology

• Staten Island University Hospital Out patient Services
  242 Mason Ave. SI, NY 10305 (718) 226-6610

Homecare Services:

• Qualifies Nurses, Therapists, and Social Workers: provide care and therapy in a home setting. The frequency and duration are determined by your insurance carrier.
• Home Health Aides: aides provide care with activities of daily living. The frequency and duration is determined by your insurance carrier.

Subacute Rehabilitation / Short Term Placement:

• May be available through your insurance carrier when a skilled need exists. Your insurance carrier provides authorization based on their determination of your skilled need.
• You will be asked to provide a list of your five facility choices.
• With HMO insurance plans, the hospital must apply to all contracted faculties in the network.
• With Medicare insurance:
1. 1) Medicare will:
• For days 1-20, Medicare will pay 100%
• Days 21-100 are covered at 80%
• (may be covered through a secondary insurance plan.)