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§456.3. Statewide surveillance and utilization control program.

42 C.F.R. § 456.3

The Medicaid agency must implement a statewide surveillance and utilization control program that—
(a)
Safeguards against unnecessary or inappropriate use of Medicaid services and against excess payments;
(b)
Assesses the quality of those services;
(c)
Provides for the control of the utilization of all services provided under the plan in accordance with subpart B of this part; and
(d)
Provides for the control of the utilization of inpatient services in accordance with subparts C through I of this part.
Notes, amendments, and revision history

Authority

Authority: 42 U.S.C. 1302.

Source

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