Code of Federal Regulations (Last Updated: November 8, 2024) |
Title 42 - Public Health |
Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
SubChapter C - Medical Assistance Programs |
Part 431 - State Organization and General Administration |
Subpart P - Quality Control |
§ 431.822 - Resolution of differences in State and Federal case eligibility or payment findings. |
§ 431.830 - Basic elements of the Medicaid quality control (MQC) claims processing assessment system. |
§ 431.832 - Reporting requirements for claims processing assessment systems. |
§ 431.834 - Access to records: Claims processing assessment systems. |
§ 431.836 - Corrective action under the MQC claims processing assessment system. |
General Provisions |
§ 431.802 - Basis. |
Medicaid Quality Control (MQC) Claims Processing Assessment System |
Medicaid Eligibility Quality Control (MEQC) Program |
§ 431.800 - Basis and scope. |
§ 431.804 - Definitions. |
§ 431.806 - State requirements. |
§ 431.808 - Protection of beneficiary rights. |
§ 431.810 - Basic elements of the Medicaid Eligibility Quality Control (MEQC) Program. |
§ 431.812 - Review procedures. |
§ 431.814 - Pilot planning document. |
§ 431.816 - Case review completion deadlines and submittal of reports. |
§ 431.818 - Access to records. |
§ 431.820 - Corrective action under the MEQC program. |
Federal Financial Participation |
§ 431.865 - Disallowance of Federal financial participation for erroneous State payments (for annual assessment periods ending after July 1, 1990). |
§§ 431.861--431.864 - [Reserved] |