With no explanation, chose the best option from "A", "B", "C" or "D". 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

A: holding that the state police is a state agency
B: holding that whether an exchange is substantially contemporaneous must be determined on a casebycase basis
C: holding erisa did not apply when doctor was not employee of the medical association of the state of alabama
D: holding that a state medicaid agency can review the medical necessity of treatment prescribed by a doctor on a casebycase basis
D.