---
kind: "section"
citation: "42 C.F.R. § 456.501"
title: "42"
number: "456.501"
heading: "UR plans as a condition for FFP."
url: "https://uscodex.org/cfr/42/456.501"
---

# §456.501. UR plans as a condition for FFP.

- (a) Except when waived under [§§ 456.505 through 456.508](/cfr/42/456.505..456.508.md), FFP is not available in expenditures for Medicaid services furnished by a hospital or mental hospital unless the facility has in effect a UR plan that meets the utilization review requirements for Medicare under [section 1861(k)](/cfr/42/1861.md?p=k) of the Act.
- (b) A facility that participates in Medicare and Medicaid must use the same UR standards and procedures and review committee for Medicaid as it uses for Medicare.
- (c) A facility that does not participate in Medicare must meet the UR plan requirements in subpart [C](/cfr/42/subpartC.md) or [D](/cfr/42/subpartD.md) of this part, which are equivalent to the Medicare UR plan requirements in §§ [405.1137](/cfr/42/405.1137.md), [482.30](/cfr/42/482.30.md), and [482.60](/cfr/42/482.60.md) of this chapter.

## Notes

### Amendments

[43 FR 45266, Sept. 29, 1978, as amended at 51 FR 22042, June 17, 1986; 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 51 FR 22042, June 17, 1986; 61 FR 38399, July 24, 1996]