PART 456—UTILIZATION CONTROL
Subparts
-
A
Subpart A—General Provisions Sections 456.1–456.6 -
B
Subpart B—Utilization Control: All Medicaid Services Sections 456.21–456.23 -
C
Subpart C—Utilization Control: Hospitals Sections 456.50–456.51; Subject groups Certification of Need for Care–Utilization Review (UR) Plan: General Requirement -
D
Subpart D—Utilization Control: Mental Hospitals Sections 456.150–456.151; Subject groups Certification of Need for Care–Utilization Review (UR) Plan: General Requirements -
E
Subpart E [Reserved] -
F
Subpart F—Utilization Control: Intermediate Care Facilities Sections 456.350–456.351; Subject groups Certification of Need for Care–Utilization Review (UR) Plan: General Requirement -
G
Subpart G—Inpatient Psychiatric Services for Individuals Under Age 21: Admission and Plan of Care Requirements Sections 456.480–456.482 -
H
Subpart H—Utilization Review Plans: FFP, Waivers, and Variances for Hospitals and Mental Hospitals Sections 456.500–456.501; Subject groups UR Plan: Remote Facility Variances from Time Requirements–UR Plan: Waiver of Requirements -
I
Subpart I—Inspections of Care in Intermediate Care Facilities and Institutions for Mental Diseases Sections 456.600–456.614 -
J
Subpart J—Penalty for Failure To Make a Satisfactory Showing of an Effective Institutional Utilization Control Program Sections 456.650–456.657 -
K
Subpart K—Drug Use Review (DUR) Program and Electronic Claims Management System for Outpatient Drug Claims Sections 456.700–456.725