Chronic hospitals shall provide the following services: Complex respiratory care services; Complex wound care services; Services for participants with multiple co-morbidities, including but not limited to services necessary to care for: Ventilator-assisted individuals who have been ventilator dependent for less than 6 months and who need further medical stabilization or are candidates for weaning from ventilator assistance; Tracheostomy participants who require suctioning more frequently than every 2 hours or are candidates for decannulation; More than two extensive stage IV decubiti which require daily intensive treatment that is not available in a nursing facility; or Extensive post-operative or post-traumatic care with multiple drains or extensive dressing change or therapies beyond the capabilities of a nursing facility; For participants admitted for medically necessary rehabilitation services, physical therapy, occupational therapy, or speech therapy, directed by an interdisciplinary team; and Ancillary services. Treatment Plan. Within 24 hours of a participant’s admission, a physician shall perform a documented face-to-face evaluation of the participant and begin developing an individualized treatment plan designed to meet the participant’s assessed needs. By the 7th day of a participant’s admission, an interdisciplinary team shall establish a written, individualized treatment plan for the participant, which shall include, at a minimum: Diagnoses; Treatment goals; Frequency of interventions for each type of service ordered; Duration of treatment of each type of service ordered; and Prognosis. The physician-led interdisciplinary team shall update the individualized treatment plan weekly until discharge. The Program covers outpatient hospital services provided by a chronic hospital when the services are: Medically necessary; and Provided to individuals who are eligible for Medical Assistance and who are not current inpatients at the chronic hospital, except when payment for certain outpatient services provided to a participant on the date of inpatient admission or within 3 calendar days before the date of an inpatient admission are bundled, in accordance with 42 CFR §412.2(c)(5). The program covers the following brain injury community integration program services: Neuro-behavioral management programming, which includes, but is not limited to: Assessment of maladaptive behaviors using valid and reliable behavioral measurement tools; Pharmacologic intervention provided to manage maladaptive behaviors related to brain injury; Neuro-behavioral programming created, implemented, overseen, and revised as needed; Incorporation of neuro-behavioral programming into therapy and care for participants in the community integration program; and Referral to a neuro-psychiatrist, as needed, if a neuro-psychiatrist is not a member of the facility staff; Cognitive skills adaptation and compensation programming, including: Specific programming dedicated to cognitive skills adaptation and compensation; and Incorporation of cognitive compensatory strategies into community integration program participant’s interdisciplinary team treatment; Community re-entry programming, including specific programming dedicated to social or pragmatic skills, leisure skills, and life skills; and According to the participant’s needs: The services of a psychiatrist or psychiatric nurse; Services and supports related to substance use disorders and other addictions; Speech therapy, which includes but is not limited to: Cognitive skills; Communication skills; Swallowing ability; and Linguistic programming that assists the patient to connect the meaning of words to their context; Occupational therapy, which includes but is not limited to: Instrumental activities of daily living; and Community re-entry activities; Physical therapy, which includes but is not limited to: Ambulation; and Motor planning and coordination; Dietary services, which includes but is not limited to nutritional needs assessment and monitoring; and Case management, which includes but is not limited to: Treatment planning; and Discharge planning. The Program covers administrative days approved by the Department or its designee according to the conditions set forth in Regulation .08C of this chapter.