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Notes

42 C.F.R. §§ 456.505–456.508

4 sections in range

§456.505. Applicability of waiver.

42 C.F.R. § 456.505

The Administrator may waive the UR plan requirements of subparts C or D of this part, except for provisions relating to disqualification of UR committee members under § 456.106 of subpart C, and § 456.206 of subpart D, if the Medicaid agency—
(a)
Applies for a waiver; and
(b)
Demonstrates to the Administrator's satisfaction that it has in operation specific UR procedures that are superior in their effectiveness to the UR plan requirements under subpart C or D of this part.
Notes, amendments, and revision history

Amendments

[43 FR 45266, Sept. 29, 1978, as amended at 61 FR 38399, July 24, 1996]

Authority

Authority: 42 U.S.C. 1302.

Source

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

Amendments

[43 FR 45266, Sept. 29, 1978, as amended at 61 FR 38399, July 24, 1996]

§456.506. Waiver options for Medicaid agency.

42 C.F.R. § 456.506

(a)
The agency may apply for a waiver at any time it has the procedures referred to under § 456.505(b) in operation at least—
(1)
On a demonstration basis; or
(2)
In any part of the State.
(b)
Any hospital or mental hospital participating under the plan that is not covered by a waiver must continue to meet all the UR plan requirements under subpart C or D of this part.
Notes, amendments, and revision history

Amendments

[43 FR 45266, Sept. 29, 1978, as amended at 61 FR 38399, July 24, 1996]

Authority

Authority: 42 U.S.C. 1302.

Source

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

Amendments

[43 FR 45266, Sept. 29, 1978, as amended at 61 FR 38399, July 24, 1996]

§456.507. Review and granting of waiver requests.

42 C.F.R. § 456.507

(a)
When the agency applies for a waiver, the Administrator will assess the agency's UR procedures and grant the waiver if he determines that the procedures meet criteria he establishes.
(b)
The Administrator will review and evaluate each waiver between 1 and 2 years after he has granted it and between 1 and 2 years periodically thereafter.
Notes, amendments, and revision history

Authority

Authority: 42 U.S.C. 1302.

Source

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

§456.508. Withdrawal of waiver.

42 C.F.R. § 456.508

(a)
The Administrator will withdraw a waiver if he determines that State procedures are no longer superior in their effectiveness to the procedures required for UR plans under subpart C or D of this part.
(b)
If a waiver is withdrawn by the Administrator, each hospital or mental hospital covered by the waiver must meet all the UR plan requirements under subpart C or D of this part.
Notes, amendments, and revision history

Amendments

[43 FR 45266, Sept. 29, 1978, as amended at 61 FR 38399, July 24, 1996]

Authority

Authority: 42 U.S.C. 1302.

Source

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

Amendments

[43 FR 45266, Sept. 29, 1978, as amended at 61 FR 38399, July 24, 1996]