[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: 42CFR456.151]



[Page 349]

 

                         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 D_Utilization Control: Mental Hospitals

 

Sec.  456.151  Definitions.



    As used in this subpart:

    Medical care appraisal norms or norms means numerical or statistical 

measures of usually observed performance.

    Medical care criteria or criteria means predetermined elements 

against which aspects of the quality of a medical service may be 

compared. These criteria are developed by health professionals relying 

on their expertise and the professional health care literature.



                     Certification of Need for Care