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  1. LII
  2. Electronic Code of Federal Regulations (e-CFR)
  3. Title 42—Public Health
  4. CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  5. SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS
  6. PART 456—UTILIZATION CONTROL
  7. Subpart C—Utilization Control: Hospitals
  8. § 456.50 Scope.

42 CFR § 456.50 - Scope.

  • CFR
  • State Regulations
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§ 456.50 Scope.

This subpart prescribes requirements for control of utilization of inpatient hospital services, including requirements concerning—

(a) Certification of need for care;

(b) Plan of care; and

(c) Utilization review plans.

The following state regulations pages link to this page.



Alaska

  • Alaska Admin. Code Title 7 § 160.140 - 7 AAC 160.140 - Quality assurance program

Idaho

  • Idaho Admin. Code r. 16.03.09.402 - 402 - INPATIENT HOSPITAL SERVICES: COVERAGE AND LIMITATIONS.

Oklahoma

  • Okla Admin. Code § 317:30-5-95.12 - Section 317:30-5-95.12 - Utilization control requirements for inpatient acute psychiatric services for persons sixty-five (65) years of age or older

Virginia

  • 12 Va. Admin. Code § 30-60-20 - 12VAC30-60-20 - Utilization control: general acute care hospitals; enrolled providers.

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