Ur Plan: Review of Need for Admission

  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

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Section
456.121

Admission review required.

Section
456.122

Evaluation criteria for admission review.

Section
456.123

Admission review process.

Section
456.124

Notification of adverse decision.

Section
456.125

Time limits for admission review.

Section
456.126

Time limits for final decision and notification of adverse decision.

Section
456.127

Pre-admission review.

Section
456.128

Initial continued stay review date.

Section
456.129

Description of methods and criteria: Initial continued stay review date; close professional scrutiny; length of stay modification.