Time limits for admission review.

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medical Assistance Programs
  6. Utilization Control
  7. Utilization Control: Hospitals
  8. Ur Plan: Review of Need for Admission
  9. Time limits for admission review.

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§ 456.125 Time limits for admission review.

Except as required under § 456.127, the UR plan must provide that review of each beneficiary's admission to the hospital is conducted -

(a) Within one working day after admission, for an individual who is receiving Medicaid at that time; or

(b) Within one working day after the hospital is notified of the application for Medicaid, for an individual who applies while in the hospital.


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