---
kind: "section"
citation: "42 C.F.R. § 456.170"
title: "42"
number: "456.170"
heading: "Medical, psychiatric, and social evaluations."
url: "https://uscodex.org/cfr/42/456.170"
---

# §456.170. Medical, psychiatric, and social evaluations.

- (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

### Authority

Authority: 42 U.S.C. 1302.

### Source

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