Utilization Control

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medical Assistance Programs
  6. Utilization Control

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Subpart
A

General Provisions

Subpart
B

Utilization Control: All Medicaid Services

Subpart
C

Utilization Control: Hospitals

Subpart
D

Utilization Control: Mental Hospitals

Subpart
E

Subpart E [Reserved]

Subpart
F

Utilization Control: Intermediate Care Facilities

Subpart
G

Inpatient Psychiatric Services for Individuals Under Age 21: Admission and Plan of Care Requirements

Subpart
H

Utilization Review Plans: FFP, Waivers, and Variances for Hospitals and Mental Hospitals

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