{"data":{"id":"us/42-cfr-456.520","jurisdiction":"us","citation":"42 CFR 456.520","heading":"Definitions.","body":"As used in §§ 456.521 through 456.525 of this subpart:\nAvailable physician or other professional personnel means an individual who—\n(a) Is professionally qualified;\n(b) Is not precluded from participating in UR under § 456.107 of subpart C; or § 456.207 of subpart D; and\n(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.\nRemote 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.\nVariance 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.","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 H—Utilization Review Plans: FFP, Waivers, and Variances for Hospitals and 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":"557d982ef42ae865b5238a5bb5a088057c5c5c850833383e0e0aca826754d2a3","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-456.508","next":"us/42-cfr-456.521"},"notice":"GroundRules: Original legal text. Not legal advice."}