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Code of Federal Regulations (Last Updated: July 5, 2024) |
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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 |
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Part 456 - Utilization Control |
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Subpart F - Utilization Control: Intermediate Care Facilities |
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Ur Plan: Review of Need for Continued Stay |
§ 456.437 - Notification of adverse decision.
Latest version.
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§ 456.437 Notification of adverse decision.
The UR plan must provide that written notice of any adverse final decision on the need for continued stay under § 456.436 (g) through (i) is sent to -
(a) The ICF administrator;
(b) The attending physician;
(c) The qualified Intellectual Disability professional, if applicable;
(d) The Medicaid agency;
(e) The beneficiary; and
(f) If possible, the next of kin or sponsor.