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§456.170. Medical, psychiatric, and social evaluations.

42 C.F.R. § 456.170

(a)
Before admission to a mental hospital or before authorization for payment, the attending physician or staff physician must make a medical evaluation of each applicant's or beneficiary's need for care in the hospital; and appropriate professional personnel must make a psychiatric and social evaluation.
(b)
Each medical evaluation must include—
(1)
Diagnoses;
(2)
Summary of present medical findings;
(3)
Medical history;
(4)
Mental and physical functional capacity;
(5)
Prognoses; and
(6)
A recommendation by a physician concerning—
(i)
Admission to the mental hospital; or
(ii)
Continued care in the mental hospital for individuals who apply for Medicaid while in the mental hospital.
Notes, amendments, and revision history

Authority

Authority: 42 U.S.C. 1302.

Source

Source: 43 FR 45266, Sept. 29, 1978, unless otherwise noted.