[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: 42CFR456.5]



[Page 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.  456.5  Evaluation criteria.



    The agency must establish and use written criteria for evaluating 

the appropriateness and quality of Medicaid services. This section does 

not apply to services in hospitals and mental hospitals. For these 

facilities, see the following sections: Sec. Sec.  456.122 and 456.132 

of subpart C; and Sec.  456.232 of subpart D.



[43 FR 45266, Sept. 29, 1978, as amended at 61 FR 38399, July 24, 1996]