42 C.F.R. § 456.3 Statewide surveillance and utilization control program.
Title 42 - Public Health
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.
Title 42: Public Health
PART 456—UTILIZATION CONTROL
Subpart A—General Provisions
§ 456.3 Statewide surveillance and utilization control program.
