42 C.F.R. § 456.520 Definitions.
Title 42 - Public Health
As used in §§456.521 through 456.525 of this subpart: Available physician or other professional personnel means an individual who— (a) Is professionally qualified; (b) Is not precluded from participating in UR under §456.107 of subpart C; or §456.207 of subpart D; and (c) Is not precluded from effective participation in UR because he requires more than approximately 1 hour to travel between the remote facility and his place of work. Remote facility means a facility located in an area that does not have enough available physicians or other professional personnel to perform UR as required under subparts C or D of this part, and for which the State requests a variance. Variance means permission granted by the Administrator to the Medicaid agency for a specific remote facility to use time periods different from those specified for the start and completion of reviews of all cases under the following sections: §§456.125, 456.126, 456.136, and 456.137 of subpart C; and §456.238 of subpart D. [43 FR 45266, Sept. 29, 1978, as amended at 61 FR 38399, July 24, 1996]
Title 42: Public Health
PART 456—UTILIZATION CONTROL
Subpart H—Utilization Review Plans: FFP, Waivers, and Variances for Hospitals and Mental Hospitals
UR Plan: Remote Facility Variances from Time Requirements
§ 456.520 Definitions.
