1. LawStack
  2. Title 42 - Public Health
  3. Chapter IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  4. Subchapter C - MEDICAL ASSISTANCE PROGRAMS
  5. Part 456 - UTILIZATION CONTROL
  6. Subpart C - Utilization Control: Hospitals
  7. Topic - UR Plan: Review of Need for Admission
  8. 42 CFR § 456.121
42 CFR § 456.121
Admission review required
June 11, 2020
CFR

The UR plan must provide for a review of each beneficiary's admission to the hospital to decide whether it is needed, in accordance with the requirements of §§456.122 through 456.129.

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§ 456.127 Pre-admission review
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§ 456.122 Evaluation criteria for admission review

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