42 CFR Part 456
UTILIZATION CONTROL
June 11, 2020
Subpart
A
General Provisions
Subpart
B
Utilization Control: All Medicaid Services
Subpart
C
Utilization Control: Hospitals
Subpart
D
Utilization Control: Mental Hospitals
Subpart
E
[Reserved]
Subpart
F
Utilization Control: Intermediate Care Facilities
Subpart
H
Utilization Review Plans: FFP, Waivers, and Variances for Hospitals and Mental Hospitals
Subpart
G
Inpatient Psychiatric Services for Individuals Under Age 21: Admission and Plan of Care Requirements
Subpart
I
Inspections of Care in Intermediate Care Facilities and Institutions for Mental Diseases
Subpart
J
Penalty for Failure To Make a Satisfactory Showing of an Effective Institutional Utilization Control Program
Subpart
K
Drug Use Review (DUR) Program and Electronic Claims Management System for Outpatient Drug Claims
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