- 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.
Historical Notes
Derived from Virginia Register Volume 19, Issue 21, eff. August 1, 2003; amended, Virginia Register Volume 30, Issue 12, eff. March 28, 2014.