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Code of Federal Regulations (Last Updated: April 5, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter C - Medical Assistance Programs |
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Part 441 - Services: Requirements and Limits Applicable to Specific Services |
| § 441.1 - Purpose. |
| Subpart A - General Provisions |
| § 441.10 - Basis. |
| § 441.11 - Continuation of FFP for institutional services. |
| § 441.12 - Inpatient hospital tests. |
| § 441.13 - Prohibitions on FFP: Institutionalized individuals. |
| § 441.15 - Home health services. |
| § 441.16 - Home health agency requirements for surety bonds; Prohibition on FFP. |
| § 441.17 - Laboratory services. |
| § 441.18 - Case management services. |
| § 441.20 - Family planning services. |
| § 441.21 - Nurse-midwife services. |
| § 441.22 - Nurse practitioner services. |
| § 441.25 - Prohibition on FFP for certain prescribed drugs. |
| § 441.30 - Optometric services. |
| § 441.35 - Organ transplants. |
| § 441.40 - End-stage renal disease. |
| Subpart B - Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) of Individuals Under Age 21 |
| § 441.50 - Basis and purpose. |
| § 441.55 - State plan requirements. |
| § 441.56 - Required activities. |
| § 441.57 - Discretionary services. |
| § 441.58 - Periodicity schedule. |
| § 441.59 - Treatment of requests for EPSDT screening services. |
| § 441.60 - Continuing care. |
| § 441.61 - Utilization of providers and coordination with related programs. |
| § 441.62 - Transportation and scheduling assistance. |
| Subpart C - Medicaid for Individuals Age 65 or Over in Institutions for Mental Diseases |
| § 441.100 - Basis and purpose. |
| § 441.101 - State plan requirements. |
| § 441.102 - Plan of care for institutionalized beneficiaries. |
| § 441.103 - Alternate plans of care. |
| § 441.105 - Methods of administration. |
| § 441.106 - Comprehensive mental health program. |
| Subpart D - Inpatient Psychiatric Services for Individuals Under Age 21 in Psychiatric Facilities or Programs |
| § 441.150 - Basis and purpose. |
| § 441.151 - General requirements. |
| § 441.152 - Certification of need for services. |
| § 441.153 - Team certifying need for services. |
| § 441.154 - Active treatment. |
| § 441.155 - Individual plan of care. |
| § 441.156 - Team developing individual plan of care. |
| § 441.180 - Maintenance of effort: General rule. |
| § 441.181 - Maintenance of effort: Explanation of terms and requirements. |
| § 441.182 - Maintenance of effort: Computation. |
| § 441.184 - Emergency preparedness. |
| Subpart E - Abortions |
| § 441.200 - Basis and purpose. |
| § 441.201 - Definition. |
| § 441.202 - General rule. |
| § 441.203 - Life of the mother would be endangered. |
| § 441.206 - Documentation needed by the Medicaid agency. |
| § 441.207 - Drugs and devices and termination of ectopic pregnancies. |
| § 441.208 - Recordkeeping requirements. |
| §§ 441.204--441.205 - [Reserved] |
| Subpart F - Sterilizations |
| § 441.250 - Applicability. |
| § 441.251 - Definitions. |
| § 441.252 - State plan requirements. |
| § 441.253 - Sterilization of a mentally competent individual aged 21 or older. |
| § 441.254 - Mentally incompetent or institutionalized individuals. |
| § 441.255 - Sterilization by hysterectomy. |
| § 441.256 - Additional condition for Federal financial participation (FFP). |
| § 441.257 - Informed consent. |
| § 441.258 - Consent form requirements. |
| § 441.259 - Review of regulations. |
| Appendix to Subpart F - Required Consent Form |
| Appendix to Subpart F of Part 441 - Required Consent Form |
| Subpart G - Home and Community-Based Services: Waiver Requirements |
| § 441.300 - Basis and purpose. |
| § 441.301 - Contents of request for a waiver. |
| § 441.302 - State assurances. |
| § 441.303 - Supporting documentation required. |
| § 441.304 - Duration, extension, and amendment of a waiver. |
| § 441.305 - Replacement of beneficiaries in approved waiver programs. |
| § 441.306 - Cooperative arrangements with the Maternal and Child Health program. |
| § 441.307 - Notification of a waiver termination. |
| § 441.308 - Hearings procedures for waiver terminations. |
| § 441.310 - Limits on Federal financial participation (FFP). |
| Subpart H - Home and Community-Based Services Waivers for Individuals Age 65 or Older: Waiver Requirements |
| § 441.350 - Basis and purpose. |
| § 441.351 - Contents of a request for a waiver. |
| § 441.352 - State assurances. |
| § 441.353 - Supporting documentation required. |
| § 441.354 - Aggregate projected expenditure limit (APEL). |
| § 441.355 - Duration, extension, and amendment of a waiver. |
| § 441.356 - Waiver termination. |
| § 441.357 - Hearing procedures for waiver denials. |
| § 441.360 - Limits on Federal financial participation (FFP). |
| § 441.365 - Periodic evaluation, assessment, and review. |
| Subpart I - Community Supported Living Arrangements Services |
| § 441.400 - Basis and purpose. |
| § 441.402 - State plan requirements. |
| § 441.404 - Minimum protection requirements. |
| Subpart J - Optional Self-Directed Personal Assistance Services Program |
| § 441.450 - Basis, scope, and definitions. |
| § 441.452 - Self-direction: General. |
| § 441.454 - Use of cash. |
| § 441.456 - Voluntary disenrollment. |
| § 441.458 - Involuntary disenrollment. |
| § 441.460 - Participant living arrangements. |
| § 441.462 - Statewideness, comparability and limitations on number served. |
| § 441.464 - State assurances. |
| § 441.466 - Assessment of need. |
| § 441.468 - Service plan elements. |
| § 441.470 - Service budget elements. |
| § 441.472 - Budget methodology. |
| § 441.474 - Quality assurance and improvement plan. |
| § 441.476 - Risk management. |
| § 441.478 - Qualifications of providers of personal assistance. |
| § 441.480 - Use of a representative. |
| § 441.482 - Permissible purchases. |
| § 441.484 - Financial management services. |
| Subpart K - Home and Community-Based Attendant Services and Supports State Plan Option (Community First Choice) |
| § 441.500 - Basis and scope. |
| § 441.505 - Definitions. |
| § 441.510 - Eligibility. |
| § 441.515 - Statewideness. |
| § 441.520 - Included services. |
| § 441.525 - Excluded services. |
| § 441.530 - Home and Community-Based Setting. |
| § 441.535 - Assessment of functional need. |
| § 441.540 - Person-centered service plan. |
| § 441.545 - Service models. |
| § 441.550 - Service plan requirements for self-directed model with service budget. |
| § 441.555 - Support system. |
| § 441.560 - Service budget requirements. |
| § 441.565 - Provider qualifications. |
| § 441.570 - State assurances. |
| § 441.575 - Development and Implementation Council. |
| § 441.580 - Data collection. |
| § 441.585 - Quality assurance system. |
| § 441.590 - Increased Federal financial participation. |
| Subpart L - Vaccines for Children Program |
| § 441.600 - Basis and purpose. |
| § 441.605 - General requirements. |
| § 441.610 - State plan requirements. |
| § 441.615 - Administration fee requirements. |
| Subpart M - State Plan Home and Community-Based Services for the Elderly and Individuals with Disabilities |
| § 441.700 - Basis and purpose. |
| § 441.705 - State plan requirements. |
| § 441.710 - State plan home and community-based services under section 1915(i)(1) of the Act. |
| § 441.715 - Needs-based criteria and evaluation. |
| § 441.720 - Independent assessment. |
| § 441.725 - Person-centered service plan. |
| § 441.730 - Provider qualifications. |
| § 441.735 - Definition of individual's representative. |
| § 441.740 - Self-directed services. |
| § 441.745 - State plan HCBS administration: State responsibilities and quality improvement. |