---
kind: "section"
citation: "42 C.F.R. § 456.401"
title: "42"
number: "456.401"
heading: "State plan UR requirements and options; UR plan required for intermediate care facility services."
url: "https://uscodex.org/cfr/42/456.401"
---

# §456.401. State plan UR requirements and options; UR plan required for intermediate care facility services.

- (a) The State plan must provide that—
  - (1) UR is performed for each ICF that furnishes inpatient services under the plan;
  - (2) Each ICF has on file a written UR plan that provides for review of each beneficiary's need for the services that the ICF furnishes him; and
  - (3) Each written ICF UR plan meets requirements under [§§ 456.401 through 456.438](/cfr/42/456.401..456.438.md).
- (b) The State plan must specify the method used to perform UR, which may be—
  - (1) Review conducted by the facility;
  - (2) **Direct review in the facility by individuals—**
    - (i) Employed by the medical assistance unit of the Medicaid agency; or
    - (ii) Under contract to the Medicaid agency; or
  - (3) **Any other method.**

## Notes

### Authority

Authority: 42 U.S.C. 1302.

### Source

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