Admission of an individual to a center shall be based on: The statement of a physician who, after an examination of the individual, finds that the individual needs care at a center; and The review and approval of an application for admission of the individual by the center. If an individual cannot be placed in a special facility in this State that can treat the condition of the individual, the individual may be admitted to a center. A center may not admit an individual who has: A mental disorder of the type that requires care in a mental health facility; or An orthopedic disease for which medical treatment is available in a special orthopedic hospital. The centers shall be operated primarily for residents of this State. A center may admit an individual who is not a resident of this State if: The individual is admitted and discharged in accordance with a specific regional health program or specific demonstration or study project approved by the Department; and This State is reimbursed for the full cost of services to the individual.