 |
Code of Federal Regulations (Last Updated: October 10, 2024) |
 |
Title 42 - Public Health |
|
|
Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
|
|
SubChapter C - Medical Assistance Programs |
|
|
Part 433 - State Fiscal Administration |
| § 433.1 - Purpose. |
| Subpart A - Federal Matching and General Administration Provisions |
| § 433.8 - [Reserved] |
| § 433.10 - Rates of FFP for program services. |
| § 433.11 - Enhanced FMAP rate for children. |
| § 433.15 - Rates of FFP for administration. |
| § 433.20 - Rates of FFP for administration: Reimbursement for school-based administrative expenditures. |
| § 433.32 - Fiscal policies and accountability. |
| § 433.34 - Cost allocation. |
| § 433.35 - Equipment - Federal financial participation. |
| § 433.36 - Liens and recoveries. |
| § 433.37 - Reporting provider payments to Internal Revenue Service. |
| § 433.38 - Interest charge on disallowed claims for FFP. |
| § 433.40 - Treatment of uncashed or cancelled (voided) Medicaid checks. |
| Subpart B - General Administrative Requirements State Financial Participation |
| § 433.50 - Basis, scope, and applicability. |
| § 433.51 - Public Funds as the State share of financial participation. |
| § 433.52 - General definitions. |
| § 433.53 - State plan requirements. |
| § 433.54 - Bona fide donations. |
| § 433.55 - Health care-related taxes defined. |
| § 433.56 - Classes of health care services and providers defined. |
| § 433.57 - General rules regarding revenues from provider-related donations and health care-related taxes. |
| § 433.58 - Provider-related donations and health care-related taxes during a State's transition period. |
| § 433.60 - Limitations on level of FFP in State expenditures from provider-related donations and health care-related taxes during the transition period. |
| § 433.66 - Permissible provider-related donations. |
| § 433.67 - Limitations on level of FFP for permissible provider-related donations. |
| § 433.68 - Permissible health care-related taxes. |
| § 433.70 - Limitation on level of FFP for revenues from health care-related taxes. |
| § 433.72 - Waiver provisions applicable to health care-related taxes. |
| § 433.74 - Reporting requirements. |
| §§ 433.58--433.60 - [Reserved] |
| Subpart C - Mechanized Claims Processing and Information Retrieval Systems |
| § 433.110 - Basis, purpose, and applicability. |
| § 433.111 - Definitions. |
| § 433.112 - FFP for design, development, installation or enhancement of mechanized processing and information retrieval systems. |
| § 433.113 - Reduction of FFP for failure to operate a system and obtain initial approval. |
| § 433.114 - Procedures for obtaining initial approval; notice of decision. |
| § 433.116 - FFP for operation of mechanized claims processing and information retrieval systems. |
| § 433.117 - Initial approval of replacement systems. |
| § 433.119 - Conditions for reapproval; notice of decision. |
| § 433.120 - Procedures for reduction of FFP after reapproval review. |
| § 433.121 - Reconsideration of the decision to reduce FFP after reapproval review. |
| § 433.122 - Reapproval of a disapproved system. |
| § 433.123 - Notification of changes in system requirements, performance standards or other conditions for approval or reapproval. |
| § 433.127 - Termination of FFP for failure to provide access to claims processing and information retrieval systems. |
| § 433.130 - Waiver of conditions of initial operation and approval. |
| § 433.131 - Waiver for noncompliance with conditions of approval and reapproval. |
| Subpart D - Third Party Liability |
| § 433.135 - Basis and purpose. |
| § 433.136 - Definitions. |
| § 433.137 - State plan requirements. |
| § 433.138 - Identifying liable third parties. |
| § 433.139 - Payment of claims. |
| § 433.140 - FFP and repayment of Federal share. |
| Cooperative Agreements and Incentive Payments |
| § 433.151 - Cooperative agreements and incentive payments - State plan requirements. |
| § 433.152 - Requirements for cooperative agreements for third party collections. |
| § 433.153 - Incentive payments to States and political subdivisions. |
| § 433.154 - Distribution of collections. |
| Assignment of Rights to Benefits |
| § 433.145 - Assignment of rights to benefits - State plan requirements. |
| § 433.146 - Rights assigned; assignment method. |
| § 433.148 - Denial or termination of eligibility. |
| Subpart E - Methodologies for Determining Federal Share of Medicaid Expenditures for Adult Eligibility Group |
| § 433.202 - Scope. |
| § 433.204 - Definitions. |
| § 433.206 - Threshold methodology. |
| Subpart F - Refunding of Federal Share of Medicaid Overpayments to Providers |
| § 433.300 - Basis. |
| § 433.302 - Scope of subpart. |
| § 433.304 - Definitions. |
| § 433.310 - Applicability of requirements. |
| § 433.312 - Basic requirements for refunds. |
| § 433.316 - When discovery of overpayment occurs and its significance. |
| § 433.318 - Overpayments involving providers who are bankrupt or out of business. |
| § 433.320 - Procedures for refunds to CMS. |
| § 433.322 - Maintenance of Records. |
| Subpart G - Temporary FMAP Increase During the Public Health Emergency for COVID-19 |
| § 433.400 - Continued enrollment for temporary FMAP increase. |