42 CFR 456.23 - Post-payment review process.

Regulations last checked for updates: May 01, 2025

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

§ 456.23 - Post-payment review process.

The agency must have a post-payment review process that—

(a) Allows State personnel to develop and review—

(1) Beneficiary utilization profiles;

(2) Provider service profiles; and

(3) Exceptions criteria; and

(b) Identifies exceptions so that the agency can correct misutilization practices of beneficiaries and providers.

authority: 42 U.S.C. 1302.

source: 43 FR 45266, Sept. 29, 1978, unless otherwise noted.

cite as: 42 CFR 456.23