[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR456.3]



[Page 342-343]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 456_UTILIZATION CONTROL--Table of Contents

 

                      Subpart A_General Provisions

 

Sec.  456.3  Statewide surveillance and utilization control program.



    The Medicaid agency must implement a statewide surveillance and 

utilization control program that--



[[Page 343]]



    (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.