12VAC30-141-850. Utilization control.
A. Each MCHIP shall implement a utilization review system as determined by contract with DMAS, or administered by DMAS.
B. For the fee-for-service program, DMAS shall use the utilization controls already established and operational in the State Plan for Medical Assistance.
C. DMAS may collect and review comprehensive data to monitor utilization after receipt of services.
Statutory Authority
§ 32.1-325 of the Code of Virginia; 42 USC § 1396 et seq.
Historical Notes
Derived from Virginia Register Volume 23, Issue 7, eff. January 10, 2007; amended, Virginia Register Volume 30, Issue 12, eff. March 28, 2014.
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