[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: 42CFR456.129]



[Page 347]

 

                         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.  456.129  Description of methods and criteria: Initial continued 



stay review date; close professional scrutiny; length of stay modification.



    The UR plan must describe--

    (a) The methods and criteria, including norms if used, that the 

committee uses to assign the initial continued stay review date under 

Sec.  456.128.

    (b) The methods that the committee uses to select categories of 

admission to receive close professional scrutiny under Sec.  456.123(b); 

and

    (c) The methods that the committee uses to modify an approved length 

of stay when the recipient's condition or treatment schedule changes.



               UR Plan: Review of Need for Continued Stay