Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-5 - PSYCHIATRIC FACILITIES FOR INDIVIDUALS 65 OR OVER
Section 560-X-5-.07 - Utilization Review (UR) Plan

Universal Citation: AL Admin Code R 560-X-5-.07

Current through Register Vol. 43, No. 02, November 27, 2024

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

(1) 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. Section 456.201 through Section 456.245;

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

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

Author:

Statutory Authority: 42 C.F.R. Section 456.200 - 456.245.

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