42 C.F.R. § 456.3

Statewide surveillance and utilization control program.

Last amended: 2017Year: 2026Length: 79 wordsSubsections: 4Official source

Cite as 42 C.F.R. § 456.3 (2026)

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.
42 C.F.R. § 456.3: Statewide surveillance and utilization control program. | Justis AI