Federal (United States) · Regulations
Subpart C — Utilization Control: Hospitals
32 sections
32 sections
- 42 C.F.R. § 456.50Scope.
- 42 C.F.R. § 456.51Definitions.
- 42 C.F.R. § 456.60Certification and recertification of need for inpatient care.
- 42 C.F.R. § 456.80Individual written plan of care.
- 42 C.F.R. § 456.100Scope.
- 42 C.F.R. § 456.101UR plan required for inpatient hospital services.
- 42 C.F.R. § 456.105UR committee required.
- 42 C.F.R. § 456.106Organization and composition of UR committee; disqualification from UR committee membership.
- 42 C.F.R. § 456.111Beneficiary information required for UR.
- 42 C.F.R. § 456.112Records and reports.
- 42 C.F.R. § 456.113Confidentiality.
- 42 C.F.R. § 456.121Admission review required.
- 42 C.F.R. § 456.122Evaluation criteria for admission review.
- 42 C.F.R. § 456.123Admission review process.
- 42 C.F.R. § 456.124Notification of adverse decision.
- 42 C.F.R. § 456.125Time limits for admission review.
- 42 C.F.R. § 456.126Time limits for final decision and notification of adverse decision.
- 42 C.F.R. § 456.127Pre-admission review.
- 42 C.F.R. § 456.128Initial continued stay review date.
- 42 C.F.R. § 456.129Description of methods and criteria: Initial continued stay review date; close professional scrutiny; length of stay modification.
- 42 C.F.R. § 456.131Continued stay review required.
- 42 C.F.R. § 456.132Evaluation criteria for continued stay.
- 42 C.F.R. § 456.133Subsequent continued stay review dates.
- 42 C.F.R. § 456.134Description of methods and criteria: Subsequent continued stay review dates; length of stay modification.
- 42 C.F.R. § 456.135Continued stay review process.
- 42 C.F.R. § 456.136Notification of adverse decision.
- 42 C.F.R. § 456.137Time limits for final decision and notification of adverse decision.
- 42 C.F.R. § 456.141Purpose and general description.
- 42 C.F.R. § 456.142UR plan requirements for medical care evaluation studies.
- 42 C.F.R. § 456.143Content of medical care evaluation studies.
- 42 C.F.R. § 456.144Data sources for studies.
- 42 C.F.R. § 456.145Number of studies required to be performed.