[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: 42CFR456.125]



[Page 346]

 

                         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.  456.125  Time limits for admission review.



    Except as required under Sec.  456.127, the UR plan must provide 

that review of each recipient'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.