by the treating physician and make its own determination of medical necessity. 42 C.F.R. § 440.230(d); CMS Manual § 5122(F); Rush, 625 F.2d at 1155. Georgia did precisely that here. The GMCF Medical Review Team (here, Dr. Rosenfeld and a team of nurses) evaluated Dr. Braucher’s orders and the training needs of caregivers to arrive at its nursing hours decisions. GAPP Manual § 702.2(D). This is consistent with federal regulations, the federal CMS Manual, and our precedent. See 42 C.F.R. § 440.230(d) (providing that the state Medicaid agency “may place appropriate limits on a service based on such criteria as medical necessity”); CMS Manual § 5122(F) (instructing state Medicaid agencies that “[y]ou make the determination as to whether the service is necessary”); Rush, 625 F.2d at 1155 (<HOLDING>). After that review, the state may limit
holding erisa did not apply when doctor was not employee of the medical association of the state of alabama holding that whether an exchange is substantially contemporaneous must be determined on a casebycase basis holding that the state police is a state agency holding that a state medicaid agency can review the medical necessity of treatment prescribed by a doctor on a casebycase basis holding a victims statements to emergency room doctor not testimonial where the purpose of the examination was for medical diagnosis and treatment