[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: 42CFR456.137]



[Page 348]

 

                         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.  456.137  Time limits for final decision and notification of 



adverse decision.



    The UR plan must provide that--

    (a) The committee makes a final decision on a recipient's need for 

continued stay and gives notice under Sec.  456.136 of an adverse final 

decision within 2 working days after the assigned continued stay review 

dates, except as required under paragraph (b) of this section.

    (b) If the committee makes an adverse final decision on a 

recipient's need for continued stay before the assigned review date, the 

committee gives notice under Sec.  456.136 within 2 working days after 

the date of the final decision.



                UR Plan: Medical Care Evaluation Studies