---
kind: "section"
citation: "42 C.F.R. § 456.370"
title: "42"
number: "456.370"
heading: "Medical, psychological, and social evaluations."
url: "https://uscodex.org/cfr/42/456.370"
---

# §456.370. Medical, psychological, and social evaluations.

- (a) Before admission to an ICF or before authorization for payment, an interdisciplinary team of health professionals must make a comprehensive medical and social evaluation and, where appropriate, a psychological evaluation of each applicant's or beneficiary's need for care in the ICF.
- (b) In an institution for Individuals with Intellectual Disabilities or persons with related conditions, the team must also make a psychological evaluation of need for care. The psychological evaluation must be made before admission or authorization of payment, but not more than three months before admission.
- (c) Each evaluation must include—
  - (1) Diagnoses;
  - (2) Summary of present medical, social, and where appropriate, developmental findings;
  - (3) Medical and social family history;
  - (4) Mental and physical functional capacity;
  - (5) Prognoses;
  - (6) Kinds of services needed;
  - (7) Evaluation by an agency worker of the resources available in the home, family and community; and
  - (8) **A recommendation concerning—**
    - (i) Admission to the ICF; or
    - (ii) **Continued care in the ICF for individuals who apply for Medicaid while in the ICF.**

## Notes

### Authority

Authority: 42 U.S.C. 1302.

### Source

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