Virginia Administrative Code
Title 12 - HEALTH
Agency 30 - DEPARTMENT OF MEDICAL ASSISTANCE SERVICES
Chapter 141 - FAMILY ACCESS TO MEDICAL INSURANCE SECURITY PLAN
Part VI - Quality Assurance and Utilization Control
Section 12VAC30-141-570 - Utilization control
Universal Citation: 2 VA Admin Code 30-141-570
Current through Register Vol. 41, No. 3, September 23, 2024
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.
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