42 C.F.R. § 456.232

Evaluation criteria for continued stay.

Last amended: 2017Year: 2026Length: 65 wordsSubsections: 2Official source

Cite as 42 C.F.R. § 456.232 (2026)

The UR plan must provide that— (a) The committee develops written medical care criteria to assess the need for continued stay. (b) The committee develops more extensive written criteria for cases that its experience shows are— (1) Associated with high costs; (2) Associated with the frequent furnishing of excessive services; or (3) Attended by physicians whose patterns of care are frequently found to be questionable.
42 C.F.R. § 456.232: Evaluation criteria for continued stay. | Justis AI