42 C.F.R. § 456.126   Time limits for final decision and notification of adverse decision.


Title 42 - Public Health


Title 42: Public Health
PART 456—UTILIZATION CONTROL
Subpart C—Utilization Control: Hospitals
UR Plan: Review of Need for Admission 1

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§ 456.126   Time limits for final decision and notification of adverse decision.

Except as required under §456.127, the UR plan must provide that the committee makes a final decision on a recipient'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.

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