{"data":{"id":"us/42-cfr-456.23","jurisdiction":"us","citation":"42 CFR 456.23","heading":"Post-payment review process.","body":"The agency must have a post-payment review process that—\n(a) Allows State personnel to develop and review—\n(1) Beneficiary utilization profiles;\n(2) Provider service profiles; and\n(3) Exceptions criteria; and\n(b) Identifies exceptions so that the agency can correct misutilization practices of beneficiaries and providers.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS","PART 456—UTILIZATION CONTROL","Subpart B—Utilization Control: All Medicaid Services"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"0fa625ec186dff9a98bc6cb3854330e50dd10fd06895767fa9781f4e65408279","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-456.22","next":"us/42-cfr-456.50"},"notice":"GroundRules: Original legal text. Not legal advice."}