42 C.F.R. § 456.126
Time limits for final decision and notification of adverse decision.
Cite as 42 C.F.R. § 456.126 (2026)
Except as required under § 456.127, the UR plan must provide that the committee makes a final decision on a beneficiary's need for admission and gives notice of an adverse final decision—
(a) Within two working days after admission, for an individual who is receiving Medicaid at that time; or
(b) Within two working days after the hospital is notified of the application for Medicaid, for an individual who applies while in the hospital.
- Cross-references to the CFR
- 456.127