42 C.F.R. § 456.126

Current through September 30, 2024

Section 456.126 - Time limits for final decision and notification of adverse decision

Except as required under § 456.127 , the UR plan must provide that the committee makes a final decision on a beneficiary's need for admission and gives notice of an adverse final decision-

(a) Within two working days after admission, for an individual who is receiving Medicaid at that time; or

(b) Within two working days after the hospital is notified of the application for Medicaid, for an individual who applies while in the hospital.

42 C.F.R. §456.126