42 C.F.R. § 456.101 UR plan required for inpatient hospital services.
Title 42 - Public Health
(a) A State plan must provide that each hospital furnishing inpatient services under the plan has in effect a written UR plan that provides for review of each recipient's need for the services that the hospital furnishes him. (b) Each written hospital UR plan must meet the requirements under §§456.101 through 456.145.
Title 42: Public Health
PART 456—UTILIZATION CONTROL
Subpart C—Utilization Control: Hospitals
Utilization Review (UR) Plan: General Requirement
§ 456.101 UR plan required for inpatient hospital services.