Regulations last checked for updates: May 01, 2025

Title 42 - Public Health last revised: Apr 15, 2025
§ 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.

authority: 42 U.S.C. 1302.
source: 43 FR 45266, Sept. 29, 1978, unless otherwise noted.
cite as: 42 CFR 456.3