Psychiatric Residential Treatment Facility

cms psychiatric residential treatment facility definition

A Psychiatric Residential Treatment Facility (PRTF) is any non-hospital facility with a provider agreement with a State Medicaid Agency to provide the inpatient services benefit to Medicaid-eligible individuals under the age of 21 (“psych under 21 benefit”). The facility must be accredited by the Joint Commission or any other accrediting organization with comparable standards recognized by the state.

accrediting organization(s)

The Joint Commission Logo

part 441 — services: requirements and limits applicable to specific service, Page: 167 (64025)

11. Add §441.184 to subpart D to read as follows:

§441.184 Emergency Preparedness

The Psychiatric Residential Treatment Facility (PRTF) must comply with all applicable Federal, State, and local emergency preparedness requirements. The PRTF must establish and maintain an emergency preparedness program that meets the requirements of this section. The emergency preparedness program must include, but not be limited to, the elements below:


(a) The PRTF must develop and maintain an emergency preparedness plan that must be reviewed, and updated at least annually. The plan must do all of the following:

  • (1) Be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach.
  • (2) Include strategies for addressing emergency events identified by the risk assessment.
  • (3) Address resident population, including, but not limited to, persons at-risk; the type of services the PRTF has the ability to provide in an emergency; and continuity of operations, including delegations of authority and succession plans.
  • (4) Include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials’ efforts to maintain an integrated response during a disaster or emergency situation, including documentation of the PRTF's efforts to contact such officials and, when applicable, of its participation in collaborative and cooperative planning efforts.