§ 456.150 - Scope.

§ 456.151 - Definitions.

Medical, Psychiatric, and Social Evaluations and Admission Review

§ 456.170 - Medical, psychiatric, and social evaluations.

§ 456.171 - [Reserved]

Plan of Care

§ 456.180 - Individual written plan of care.

§ 456.181 - Reports of evaluations and plans of care.

Ur Plan: Medical Care Evaluation Studies

§ 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.

Utilization Review (Ur) Plan: General Requirements

§ 456.200 - Scope.

§ 456.201 - UR plan required for inpatient mental hospital services.

Ur Plan: Informational Requirements

§ 456.211 - Beneficiary information required for UR.

§ 456.212 - Records and reports.

§ 456.213 - Confidentiality.

Certification of Need for Care

§ 456.160 - Certification and recertification of need for inpatient care.

Ur Plan: Review of Need for Continued Stay

§ 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.

Ur Plan: Administrative Requirements

§ 456.205 - UR committee required.

§ 456.206 - Organization and composition of UR committee; disqualification from UR committee membership.