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Code of Federal Regulations Title 42. Public Health § 42.456.129 Description of methods and criteria:  Initial continued stay review date;  close professional scrutiny;  length of stay modification

Current as of January 02, 2025 | Updated by Findlaw Staff

The UR plan must describe—

(a) The methods and criteria, including norms if used, that the committee uses to assign the initial continued stay review date under § 456.128.

(b) The methods that the committee uses to select categories of admission to receive close professional scrutiny under § 456.123(b);  and

(c) The methods that the committee uses to modify an approved length of stay when the beneficiary's condition or treatment schedule changes.

 1

 The Department was enjoined in 1975 in the case of American Medical Assn. et al. v. Weinberger, 395 F. Supp. 515 (N.D. Ill., 1975), aff'd., 522 F2d 921 (7th cir., 1975) from implementing the admission review requirements contained in §§ 456.121–456.127. This case was dismissed on the condition that these requirements be revised. They are presently being revised, and will not be in force until that revision is completed.

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Cite this article: FindLaw.com - Code of Federal Regulations Title 42. Public Health § 42.456.129 Description of methods and criteria:  Initial continued stay review date;  close professional scrutiny;  length of stay modification - last updated January 02, 2025 | https://codes.findlaw.com/cfr/title-42-public-health/cfr-sect-42-456-129/

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