{"data":{"id":"us/42-cfr-456.170","jurisdiction":"us","citation":"42 CFR 456.170","heading":"Medical, psychiatric, and social evaluations.","body":"(a) Before admission to a mental hospital or before authorization for payment, the attending physician or staff physician must make a medical evaluation of each applicant's or beneficiary's need for care in the hospital; and appropriate professional personnel must make a psychiatric and social evaluation.\n(b) Each medical evaluation must include—\n(1) Diagnoses;\n(2) Summary of present medical findings;\n(3) Medical history;\n(4) Mental and physical functional capacity;\n(5) Prognoses; and\n(6) A recommendation by a physician concerning—\n(i) Admission to the mental hospital; or\n(ii) Continued care in the mental hospital for individuals who apply for Medicaid while in the mental hospital.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS","PART 456—UTILIZATION CONTROL","Subpart D—Utilization Control: Mental Hospitals"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"3271011c7ae7fd45bc8be7ede0530e5501745a6403e7b0249375a57d207431a2","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-456.160","next":"us/42-cfr-456.171"},"notice":"GroundRules: Original legal text. Not legal advice."}