[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: 42CFR456.126]



[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.  456.126  Time limits for final decision and notification of 



adverse decision.



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

that the committee makes a final decision on a recipient's need for 

admission and gives notice of an adverse final decision--

    (a) Within two working days after admission, for an individual who 

is receiving Medicaid at that time; or

    (b) Within two working days after the hospital is notified of the 

application for Medicaid, for an individual who applies while in the 

hospital.