Referrals and Admissions Process and Criteria

Survivors of traumatic brain injury or neurologic injury and individuals with neuropsychiatric disorders are referred on a national level. Patients are qualified for admission individually on a clinical, medical and financial basis.

Family members and other concerned parties are encouraged to tour the program prior to admission in order to make informed placement decisions. Lakeside assists in lessening the financial burden placed on family members by absorbing some of the costs associated with travel expenses, meals, and overnight accommodations.

The Admissions Department is available to assist all concerned parties with any questions. For assistance in making a referral, please call (800-697-5390) and ask to speak to a Referral Coordinator. During non-business hours, please ask the operator to transfer you to the on-call Referral Coordinator.

All referrals for rehabilitation are reviewed on an individual basis. 

Who can refer a client for rehabilitation?

  • Anyone can initiate a referral.
  • Clients, their families, physicians, social workers, discharge planners, insurance case managers, school representatives, community agencies, or anyone else can initiate the referral process.

What information is needed to refer a client?

  • Family contact or guardian.
  • Client information including: age, injury information, current location.

How can a referral be made?

  • Online referral form 
  • Call the Admissions Department @ 888-824-3467
  • Contact the local Nurse Evaluator/Area Manager

How long does the process take?

Our experienced staff is always available to meet the needs of families, funders, and referral sources. In most cases, response time is less than 24 hours from receipt of the referral. If the need for an urgent response is necessary, staff can be on-site the same day in most cases.

 

What is the process?

  • An Intake & Referral form is completed to gather relevant information regarding the potential client, injury status, contacts, and funding source.
  • A Referral Coordinator is assigned from the Admissions Department as the primary contact throughout the referral and admissions process.
  • A pre-admission screening is scheduled without cost or obligation.
  • A Release of Information is obtained from the potential client or their legal guardian
  • Pre- and post-injury medical and other records are collected.
  • The pre-admission evaluation and available medical records are reviewed by the clinical neuropsychologist to determine medical/clinical program eligibility.
  • An Individualized Proposed Treatment Plan is developed which outlines the potential client’s goals and objectives for admission.
  • At the convenience of the concerned parties, a facility tour is scheduled which addresses the specific rehabilitation and care needs of the potential client. The touring party will have the opportunity to meet with and ask questions of clinical staff.
  • Letters of Medical Necessity are obtained from the client’s treating physicians.
  • The Proposed Treatment Plan is submitted for family review and approval, medical precertification, or other payor source review and approval as appropriate.

All referrals for rehabilitation are reviewed on an individual basis.  The criteria listed below are general guidelines and do not individually qualify or disqualify eligibility.

Neurologic dysfunction

Such as:

  • Traumatic Brain Injury
  • Neurologic Injury/Disorder
  • Central Nervous System Injury

As the result of:

  • Closed or penetrating head injury
  • Central nervous system disease
  • Brain tumors
  • Cerebrovascular accidents
  • Exposure to neurotoxin
  • Metabolic disorders
  • Anoxic/hypoxic encephalopathies
  • Varied encephalopathies

Sub-Acute (SMRC)

  • Medically stable
  • Reasonably expected to benefit from rehabilitation
  • 16 years of age and above

Post-Acute Adult (Lakeside)

  • Achieved a stable level of medical recovery
  • 18 years of age and above
  • Functioning at a cognitive level on the Rancho Los Amigos Scale of IV or above

Post-Acute Pediatric (Lakeside)

  • Achieved a stable level of medical recovery
  • 4 to 17 years of age
  • Functioning at a cognitive level on the Rancho Los Amigos Scale of IV or above
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