42 CFR 456.437 : Public Health (Part 1 To Parts 1009-1099) — (§ 430.0 To Part 481) — Centers For Medicare & Medicaid Services, Department Of Health And Human Services (Continued) (§ 430.0 To Part 481) — Medical Assistance Programs (§ 430.0 To § 456.725) — Utilization Control (§ 456.1 To § 456.725) — Utilization Control: Intermediate Care Facilities (§ 456.350 To § 456.438) — Ur Plan: Review Of Need For Continued Stay (§ 456.431 To § 456.438) — Notification of adverse decision.

4 Aug 2016

The UR plan must provide that written notice of any adverse final decision on the need for continued stay under § 456.436 (g) through (i) is sent to -

(a) The ICF administrator;

(b) The attending physician;

(c) The qualified Intellectual Disability professional, if applicable;

(d) The Medicaid agency;

(e) The beneficiary; and

(f) If possible, the next of kin or sponsor.

42 CFR 456.437