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Utilization Control

Utilization Control

6210.101Scope of claims review procedures.6210.102Review of need for admission.6210.103Inspections of care.6210.104Content of inspections of care.6210.105Inspection of care summary report.6210.106Facility course of action.6210.107Recipient right of appeal of alternate care determinations.6210.108Facility utilization review.6210.109Provider misutilization.