SUBPART D—Utilization Control: Mental Hospitals (§456.150 to §456.245)
- 456.150—Scope.
- 456.151—Definitions.
- 456.160—Certification and recertification of need for inpatient care.
- 456.170—Medical, psychiatric, and social evaluations.
- 456.171—Medicaid agency review of need for admission.
- 456.180—Individual written plan of care.
- 456.181—Reports of evaluations and plans of care.
- 456.200—Scope.
- 456.201—UR plan required for inpatient mental hospital services.
- 456.205—UR committee required.
- 456.206—Organization and composition of UR committee; disqualification from UR committee membership.
- 456.211—Recipient information required for UR.
- 456.212—Records and reports.
- 456.213—Confidentiality.
- 456.231—Continued stay review required.
- 456.232—Evaluation criteria for continued stay.
- 456.233—Initial continued stay review date.
- 456.234—Subsequent continued stay review dates.
- 456.235—Description of methods and criteria: Continued stay review dates; length of stay modification.
- 456.236—Continued stay review process.
- 456.237—Notification of adverse decision.
- 456.238—Time limits for final decision and notification of adverse decision.
- 456.241—Purpose and general description.
- 456.242—UR plan requirements for medical care evaluation studies.
- 456.243—Content of medical care evaluation studies.
- 456.244—Data sources for studies.
- 456.245—Number of studies required to be performed.