Code of Federal Regulations (Last Updated: October 10, 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: Medical Care Evaluation Studies |
§ 456.243 - Content of medical care evaluation studies.
Latest version.
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§ 456.243 Content of medical care evaluation studies.
Each medical care evaluation study must -
(a) Identify and analyze medical or administrative factors related to the mental hospital's patient care;
(b) Include analysis of at least the following:
(1) Admissions.
(2) Durations of stay.
(3) Ancillary services furnished, including drugs and biologicals.
(4) Professional services performed in the hospital; and
(c) If indicated, contain recommendations for change beneficial to patients, staff, the hospital, and the community.