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§ 456.3 Statewide surveillance and utilization control program.

42 CFR 456.3

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  3. Title 42
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  5. Chapter IV
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  7. Part 456
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  9. Subpart A
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  11. 42 CFR 456.3
Citation42 CFR 456.3
CorpusDaily eCFR
Displayed edition2026-04-15
Last updated2026-04-15

§ 456.3 Statewide surveillance and utilization control program.

The Medicaid agency must implement a statewide surveillance and utilization control program that—

(a) Safeguards against unnecessary or inappropriate use of Medicaid services and against excess payments;

(b) Assesses the quality of those services;

(c) Provides for the control of the utilization of all services provided under the plan in accordance with subpart B of this part; and

(d) Provides for the control of the utilization of inpatient services in accordance with subparts C through I of this part.