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Title 42 - Public Health
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CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
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SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS (parts 430 to 456)
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PART 456—UTILIZATION CONTROL
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SUBPART D—Utilization Control: Mental Hospitals (§456.150 to §456.245)
CFR
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SUBPART D—Utilization Control: Mental Hospitals (§456.150 to §456.245)
456.150—Scope.
456.151—Definitions.
456.160—Certification and recertification of need for inpatient care.
456.170—Medical, psychiatric, and social evaluations.
456.171—Medicaid agency review of need for admission.
456.180—Individual written plan of care.
456.181—Reports of evaluations and plans of care.
456.200—Scope.
456.201—UR plan required for inpatient mental hospital services.
456.205—UR committee required.
456.206—Organization and composition of UR committee; disqualification from UR committee membership.
456.211—Recipient information required for UR.
456.212—Records and reports.
456.213—Confidentiality.
456.231—Continued stay review required.
456.232—Evaluation criteria for continued stay.
456.233—Initial continued stay review date.
456.234—Subsequent continued stay review dates.
456.235—Description of methods and criteria: Continued stay review dates; length of stay modification.
456.236—Continued stay review process.
456.237—Notification of adverse decision.
456.238—Time limits for final decision and notification of adverse decision.
456.241—Purpose and general description.
456.242—UR plan requirements for medical care evaluation studies.
456.243—Content of medical care evaluation studies.
456.244—Data sources for studies.
456.245—Number of studies required to be performed.
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