[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: 42CFR456.101]



[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.  456.101  UR plan required for inpatient hospital services.



    (a) A State plan must provide that each hospital furnishing 

inpatient services under the plan has in effect a written UR plan that 

provides for review of each recipient's need for the services that the 

hospital furnishes him.

    (b) Each written hospital UR plan must meet the requirements under 

Sec. Sec.  456.101 through 456.145.



                  UR Plan: Administrative Requirements