Title 42

PART 431 SUBPART P

Subpart P - Quality Control

42:4.0.1.1.2.12.13SUBJGRP 13
Medicaid Eligibility Quality Control (MEQC) Program
42:4.0.1.1.2.12.13.1SECTION 431.800
   431.800 Basis and scope.
42:4.0.1.1.2.12.13.2SECTION 431.804
   431.804 Definitions.
42:4.0.1.1.2.12.13.3SECTION 431.806
   431.806 State requirements.
42:4.0.1.1.2.12.13.4SECTION 431.808
   431.808 Protection of beneficiary rights.
42:4.0.1.1.2.12.13.5SECTION 431.810
   431.810 Basic elements of the Medicaid Eligibility Quality Control (MEQC) Program.
42:4.0.1.1.2.12.13.6SECTION 431.812
   431.812 Review procedures.
42:4.0.1.1.2.12.13.7SECTION 431.814
   431.814 Pilot planning document.
42:4.0.1.1.2.12.13.8SECTION 431.816
   431.816 Case review completion deadlines and submittal of reports.
42:4.0.1.1.2.12.13.9SECTION 431.818
   431.818 Access to records.
42:4.0.1.1.2.12.13.10SECTION 431.820
   431.820 Corrective action under the MEQC program.
42:4.0.1.1.2.12.14SUBJGRP 14
Medicaid Quality Control (MQC) Claims Processing Assessment System
42:4.0.1.1.2.12.14.11SECTION 431.830
   431.830 Basic elements of the Medicaid quality control (MQC) claims processing assessment system.
42:4.0.1.1.2.12.14.12SECTION 431.832
   431.832 Reporting requirements for claims processing assessment systems.
42:4.0.1.1.2.12.14.13SECTION 431.834
   431.834 Access to records: Claims processing assessment systems.
42:4.0.1.1.2.12.14.14SECTION 431.836
   431.836 Corrective action under the MQC claims processing assessment system.