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42 CFR 456 - UTILIZATION CONTROL


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Document in Context
   
Collapse    Title 42 - Public Health
Parts 1 - 1008. October 1, 2000.
Table Of Contents
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Subchapter A - GENERAL PROVISIONS (Parts 1 - 403)
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Subchapter B - PERSONNEL (Parts 21 - 424)
Table Of Contents (Parts 456 - 456)
Section 456.50 - Scope.
Section 456.51 - Definitions.
Section 456.60 - Certification and recertification of need for inpatient care.
Section 456.80 - Individual written plan of care.
Section 456.100 - Scope.
Section 456.101 - UR plan required for inpatient hospital services.
Section 456.105 - UR committee required.
Section 456.106 - Organization and composition of UR committee; disqualification from UR committee membership.
Section 456.111 - Recipient information required for UR.
Section 456.112 - Records and reports.
Section 456.113 - Confidentiality.
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...
Section 456.131 - Continued stay review required.
Section 456.132 - Evaluation criteria for continued stay.
Section 456.133 - Subsequent continued stay review dates.
Section 456.134 - Description of methods and criteria: Subsequent continued stay review dates; length of stay...
Section 456.135 - Continued stay review process.
Section 456.136 - Notification of adverse decision.
Section 456.137 - Time limits for final decision and notification of adverse decision.
Section 456.141 - Purpose and general description.
Section 456.142 - UR plan requirements for medical care evaluation studies.
Section 456.143 - Content of medical care evaluation studies.
Section 456.144 - Data sources for studies.
Section 456.145 - Number of studies required to be performed.
Chapter IV - Table Of Contents