Code of Federal Regulations (alpha)

CFR /  Title 42  /  Part 456  /  Sec. 456.431 Continued stay review required.

(a) The UR plan must provide for a review of each beneficiaries continued stay in the ICF at least every 6 months to decide whether it is needed.

(b) The UR plan requirement for continued stay review may be met by--

(1) Reviews that are performed in accordance with the requirements of Sec. Sec. 456.432 through 456.437; or

(2) Reviews that meet on-site inspection requirements under subpart I if--

(i) The composition of the independent professional review team under subpart I meets the requirements of Sec. 456.406; and

(ii) Reviews are conducted as frequently as required under Sec. Sec. 456.433 and 456.434.