(a) A team specified in § 441.154 must certify that—
- (1) Ambulatory care resources available in the community do not meet the treatment needs of the beneficiary;
- (2) Proper treatment of the beneficiary's psychiatric condition requires services on an inpatient basis under the direction of a physician; and
- (3) The services can reasonably be expected to improve the beneficiary's condition or prevent further regression so that the services will no longer be needed.
- (b) The certification specified in this section and in § 441.153 satisfies the utilization control requirement for physician certification in §§ 456.60, 456.160, and 456.360 of this subchapter.
[43 FR 45229, Sept. 29, 1978, as amended at 61 FR 38398, July 24, 1996]