{"data":{"id":"us/42-cfr-456.5","jurisdiction":"us","citation":"42 CFR 456.5","heading":"Evaluation criteria.","body":"The agency must establish and use written criteria for evaluating the appropriateness and quality of Medicaid services. This section does not apply to services in hospitals and mental hospitals. For these facilities, see the following sections: §§ 456.122 and 456.132 of subpart C; and § 456.232 of subpart D.","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 A—General Provisions"],"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":"c12334f5cf6ae44a6585d07668925964bb6bf37b6fc4fd3c398bfc518fd592cc","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-456.4","next":"us/42-cfr-456.6"},"notice":"GroundRules: Original legal text. Not legal advice."}