42 CFR 456.122 - Evaluation criteria for admission review.

Regulations last checked for updates: Nov 24, 2024

Title 42 - Public Health last revised: Nov 19, 2024

§ 456.122 - Evaluation criteria for admission review.

The UR plan must provide that—

(a) The committee develops written medical care criteria to assess the need for admission; and

(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.

authority: 42 U.S.C. 1302.

source: 43 FR 45266, Sept. 29, 1978, unless otherwise noted.

cite as: 42 CFR 456.122