GroundRules
12VAC30-141-850: Utilization control
Where this section sits in the code
- Title 12. Health
- Agency 30. Department of Medical Assistance Services
- Chapter 141. Family Access to Medical Insurance Security Plan
- Part VII. FAMIS MOMS
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.
Collected 2026-09-14T04:51:17Z. Source file · JSON