GroundRules
42 CFR 456.437: Notification of adverse decision.
Where this section sits in the code
- Title 42—Public Health
- CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
- SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS
- PART 456—UTILIZATION CONTROL
- Subpart F—Utilization Control: Intermediate Care Facilities
The UR plan must provide that written notice of any adverse final decision on the need for continued stay under § 456.436 (g) through (i) is sent to—
(a) The ICF administrator;
(b) The attending physician;
(c) The qualified Intellectual Disability professional, if applicable;
(d) The Medicaid agency;
(e) The beneficiary; and
(f) If possible, the next of kin or sponsor.
Collected 2026-08-27T02:26:11Z. Source file · JSON