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Code of Federal Regulations (Last Updated: May 6, 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 |
§ 456.129 - Description of methods and criteria: Initial continued stay review date; close professional scrutiny; length of stay modification.
Latest version.
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§ 456.129 Description of methods and criteria: Initial continued stay review date; close professional scrutiny; length of stay modification.
The UR plan must describe -
(a) The methods and criteria, including norms if used, that the committee uses to assign the initial continued stay review date under § 456.128.
(b) The methods that the committee uses to select categories of admission to receive close professional scrutiny under § 456.123(b); and
(c) The methods that the committee uses to modify an approved length of stay when the beneficiary's condition or treatment schedule changes.