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Code of Federal Regulations (Last Updated: October 10, 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 C - Utilization Control: Hospitals |
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UR Plan: Review of Need for Admission |
§ 456.125 - Time limits for admission review.
Latest version.
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§ 456.125 Time limits for admission review.
Except as required under § 456.127, the UR plan must provide that review of each beneficiary's admission to the hospital is conducted -
(a) Within one working day after admission, for an individual who is receiving Medicaid at that time; or
(b) Within one working day after the hospital is notified of the application for Medicaid, for an individual who applies while in the hospital.