[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR456.100]



[Page 344]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 456_UTILIZATION CONTROL--Table of Contents

 

                Subpart C_Utilization Control: Hospitals

 

Sec.  456.100  Scope.



    Sections 456.101 through 456.145 of this subpart prescribe 

requirements for a written utilization review (UR) plan for each 

hospital providing Medicaid services. Sections 456.105 and 456.106 

prescribe administrative requirements: Sec. Sec.  456.111 through 

456.113 prescribe informational requirements; Sec. Sec.  456.121 through 

456.129 prescribe requirements for admission review; Sec. Sec.  456.131 

through 456.137 prescribe requirements for continued stay review; and 

Sec. Sec.  456.141 through 456.145 prescribe requirements for medical 

care evaluation studies.