Code of Federal Regulations Title 42. Public Health § 42.456.520 Definitions

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.