Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-41 - PSYCHIATRIC FACILITIES FOR INDIVIDUALS UNDER AGE 21
Section 560-X-41-.07 - Utilization Review (UR) Plan

Universal Citation: AL Admin Code R 560-X-41-.07

Current through Register Vol. 42, No. 11, August 30, 2024

As a condition of participation in the Title XIX Medicaid program, each psychiatric facility shall:

(a) Have in effect a written UR plan that provides for review of each recipient's need for services that the facility furnishes to him. This written UR plan must meet the requirements under 42 C.F.R. §§ 456.201 through 42 C.F.R. 456.245;

(b) Maintain recipient information required for UR under 42 C.F.R. § 456.211, which shall include the certification of need for service and the plan of care; and

(c) Provide a copy of the UR plan and any subsequent revisions to Medicaid for review and approval.

Authors: Gwen Williams, Vicki W. Huff

Statutory Authority: 42 C.F.R. §§456.200 through 456.245.

Disclaimer: These regulations may not be the most recent version. Alabama may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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