Code of Federal Regulations (Last Updated: May 6, 2024) |
Title 42 - Public Health |
Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
SubChapter C - Medical Assistance Programs |
Part 456 - Utilization Control |
Subpart D - Utilization Control: Mental Hospitals |
Ur Plan: Review of Need for Continued Stay |
§ 456.238 - Time limits for final decision and notification of adverse decision.
Latest version.
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§ 456.238 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 beneficiary's need for continued stay and gives notice under § 456.237 of an adverse decision within 2 working days after the assigned continued stay review date, except as required under paragraph (b) of this section.
(b) If the committee makes an adverse final decision on a beneficiary's need for continued stay before the assigned review date, the committee gives notice under § 456.237 within 2 working days after the date of the final decision.