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