42 CFR 456.211
§ 456.211 Beneficiary information required for UR.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 456.211, § 456.211 Beneficiary information required for UR, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/206649
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Full text
The UR plan must provide that each beneficiary's record includes information needed to perform UR required under this subpart. This information must include, at least, the following:
(a) Identification of the beneficiary.
(b) The name of the beneficiary's physician.
(c) Date of admission, and dates of application for and authorization of Medicaid benefits if application is made after admission.
(d) The plan of care required under § 456.172.
(e) Initial and subsequent continued stay review dates described under §§ 456.233 and 456.234.
(f) Reasons and plan for continued stay, if the attending physician believes continued stay is necessary.
(g) Other supporting material that the committee believes appropriate to be included in the record.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.