42 CFR § 456.437 - Notification of adverse decision.

---
identifier: "/us/cfr/t42/s456.437"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 456.437 - Notification of adverse decision."
title_number: 42
title_name: "Public Health"
section_number: "456.437"
section_name: "Notification of adverse decision."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "C"
subchapter_name: "MEDICAL ASSISTANCE PROGRAMS"
part_number: "456"
part_name: "UTILIZATION CONTROL"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302."
regulatory_source: "43 FR 45266, Sept. 29, 1978, unless otherwise noted."
cfr_part: "456"
---


# 456.437 Notification of adverse decision.

The UR plan must provide that written notice of any adverse final decision on the need for continued stay under § 456.436 (g) through (i) is sent to—

(a) The ICF administrator;

(b) The attending physician;

(c) The qualified Intellectual Disability professional, if applicable;

(d) The Medicaid agency;

(e) The beneficiary; and

(f) If possible, the next of kin or sponsor.