42 CFR 456.124 - Notification of adverse decision.

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Title 42: Public Health

CHAPTER IV: CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)

SUBCHAPTER C: MEDICAL ASSISTANCE PROGRAMS

PART 456: UTILIZATION CONTROL

Subpart C: Utilization Control: Hospitals

: Ur Plan: Review of Need for Admission 1

456.124 - Notification of adverse decision.

The UR plan must provide that written notice of any adverse final decision on the need for admission under ? 456.123 (e) through (g) is sent to?

(a) The hospital administrator;

(b) The attending physician;

(c) The Medicaid agency;

(d) The recipient; and

(e) If possible, the next of kin or sponsor.

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