---
kind: "section"
citation: "42 C.F.R. § 441.102"
title: "42"
number: "441.102"
heading: "Plan of care for institutionalized beneficiaries."
url: "https://uscodex.org/cfr/42/441.102"
---

# §441.102. Plan of care for institutionalized beneficiaries.

- (a) The Medicaid agency must provide for a recorded individual plan of treatment and care to ensure that institutional care maintains the beneficiary at, or restores him to, the greatest possible degree of health and independent functioning.
- (b) The plan must include—
  - (1) **An initial review of the beneficiary's medical, psychiatric, and social needs—**
    - (i) Within 90 days after approval of the State plan provision for services in institutions for mental disease; and
    - (ii) After that period, within 30 days after the date payments are initiated for services provided a beneficiary.
  - (2) Periodic review of the beneficiary's medical, psychiatric, and social needs;
  - (3) A determination, at least quarterly, of the beneficiary's need for continued institutional care and for alternative care arrangements;
  - (4) Appropriate medical treatment in the institution; and
  - (5) **Appropriate social services.**

## Notes

### Source

Source: 44 FR 17940, Mar. 23, 1979, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302.

### Source

Source: 43 FR 45229, Sept. 29, 1978, unless otherwise noted.