42:5.0.1.1.11.1 | SUBPART A
| Subpart A - General Provisions | |
42:5.0.1.1.11.1.41.1 | SECTION 495.2
| 495.2 Basis and purpose. | |
42:5.0.1.1.11.1.41.2 | SECTION 495.4
| 495.4 Definitions. | |
42:5.0.1.1.11.1.41.3 | SECTION 495.5
| 495.5 Requirements for EPs seeking to reverse a hospital-based determination under § 495.4. | |
42:5.0.1.1.11.1.41.4 | SECTION 495.20
| 495.20 Meaningful use objectives and measures for EPs, eligible hospitals, and CAHs before 2015. | |
42:5.0.1.1.11.1.41.5 | SECTION 495.22
| 495.22 Meaningful use objectives and measures for EPs, eligible hospitals, and CAHs for 2015 through 2018. | |
42:5.0.1.1.11.1.41.6 | SECTION 495.24
| 495.24 Stage 3 meaningful use objectives and measures for EPs, eligible hospitals and CAHs for 2019 and subsequent years. | |
42:5.0.1.1.11.1.41.7 | SECTION 495.40
| 495.40 Demonstration of meaningful use criteria. | |
42:5.0.1.1.11.1.41.8 | SECTION 495.60
| 495.60 Participation requirements for EPs, eligible hospitals, and CAHs. | |
42:5.0.1.1.11.2 | SUBPART B
| Subpart B - Requirements Specific to the Medicare Program | |
42:5.0.1.1.11.2.41.1 | SECTION 495.100
| 495.100 Definitions. | |
42:5.0.1.1.11.2.41.2 | SECTION 495.102
| 495.102 Incentive payments to EPs. | |
42:5.0.1.1.11.2.41.3 | SECTION 495.104
| 495.104 Incentive payments to eligible hospitals. | |
42:5.0.1.1.11.2.41.4 | SECTION 495.106
| 495.106 Incentive payments to CAHs. | |
42:5.0.1.1.11.2.41.5 | SECTION 495.108
| 495.108 Posting of required information. | |
42:5.0.1.1.11.2.41.6 | SECTION 495.110
| 495.110 Preclusion on administrative and judicial review. | |
42:5.0.1.1.11.3 | SUBPART C
| Subpart C - Requirements Specific to Medicare Advantage (MA) Organizations | |
42:5.0.1.1.11.3.41.1 | SECTION 495.200
| 495.200 Definitions. | |
42:5.0.1.1.11.3.41.2 | SECTION 495.202
| 495.202 Identification of qualifying MA organizations, MA-EPs and MA-affiliated eligible hospitals. | |
42:5.0.1.1.11.3.41.3 | SECTION 495.204
| 495.204 Incentive payments to qualifying MA organizations for qualifying MA-EPs and qualifying MA-affiliated eligible hospitals. | |
42:5.0.1.1.11.3.41.4 | SECTION 495.206
| 495.206 Timeframe for payment to qualifying MA organizations. | |
42:5.0.1.1.11.3.41.5 | SECTION 495.208
| 495.208 Avoiding duplicate payment. | |
42:5.0.1.1.11.3.41.6 | SECTION 495.210
| 495.210 Meaningful EHR user attestation. | |
42:5.0.1.1.11.3.41.7 | SECTION 495.211
| 495.211 Payment adjustments effective for 2015 and subsequent MA payment years with respect to MA EPs and MA-affiliated eligible hospitals. | |
42:5.0.1.1.11.3.41.8 | SECTION 495.212
| 495.212 Limitation on review. | |
42:5.0.1.1.11.4 | SUBPART D
| Subpart D - Requirements Specific to the Medicaid Program | |
42:5.0.1.1.11.4.41.1 | SECTION 495.300
| 495.300 Basis and purpose. | |
42:5.0.1.1.11.4.41.2 | SECTION 495.302
| 495.302 Definitions. | |
42:5.0.1.1.11.4.41.3 | SECTION 495.304
| 495.304 Medicaid provider scope and eligibility. | |
42:5.0.1.1.11.4.41.4 | SECTION 495.306
| 495.306 Establishing patient volume. | |
42:5.0.1.1.11.4.41.5 | SECTION 495.308
| 495.308 Net average allowable costs as the basis for determining the incentive payment. | |
42:5.0.1.1.11.4.41.6 | SECTION 495.310
| 495.310 Medicaid provider incentive payments. | |
42:5.0.1.1.11.4.41.7 | SECTION 495.312
| 495.312 Process for payments. | |
42:5.0.1.1.11.4.41.8 | SECTION 495.314
| 495.314 Activities required to receive an incentive payment. | |
42:5.0.1.1.11.4.41.9 | SECTION 495.316
| 495.316 State monitoring and reporting regarding activities required to receive an incentive payment. | |
42:5.0.1.1.11.4.41.10 | SECTION 495.318
| 495.318 State responsibilities for receiving FFP. | |
42:5.0.1.1.11.4.41.11 | SECTION 495.320
| 495.320 FFP for payments to Medicaid providers. | |
42:5.0.1.1.11.4.41.12 | SECTION 495.322
| 495.322 FFP for reasonable administrative expenses. | |
42:5.0.1.1.11.4.41.13 | SECTION 495.324
| 495.324 Prior approval conditions. | |
42:5.0.1.1.11.4.41.14 | SECTION 495.326
| 495.326 Disallowance of FFP. | |
42:5.0.1.1.11.4.41.15 | SECTION 495.328
| 495.328 Request for reconsideration of adverse determination. | |
42:5.0.1.1.11.4.41.16 | SECTION 495.330
| 495.330 Termination of FFP for failure to provide access to information. | |
42:5.0.1.1.11.4.41.17 | SECTION 495.332
| 495.332 State Medicaid health information technology (HIT) plan requirements. | |
42:5.0.1.1.11.4.41.18 | SECTION 495.334
| 495.334 [Reserved] | |
42:5.0.1.1.11.4.41.19 | SECTION 495.336
| 495.336 Health information technology planning advance planning document requirements (HIT PAPD). | |
42:5.0.1.1.11.4.41.20 | SECTION 495.338
| 495.338 Health information technology implementation advance planning document requirements (HIT IAPD). | |
42:5.0.1.1.11.4.41.21 | SECTION 495.340
| 495.340 As-needed HIT PAPD update and as-needed HIT IAPD update requirements. | |
42:5.0.1.1.11.4.41.22 | SECTION 495.342
| 495.342 Annual HIT IAPD requirements. | |
42:5.0.1.1.11.4.41.23 | SECTION 495.344
| 495.344 Approval of the State Medicaid HIT plan, the HIT PAPD and update, the HIT IAPD and update, and the annual HIT IAPD. | |
42:5.0.1.1.11.4.41.24 | SECTION 495.346
| 495.346 Access to systems and records. | |
42:5.0.1.1.11.4.41.25 | SECTION 495.348
| 495.348 Procurement standards. | |
42:5.0.1.1.11.4.41.26 | SECTION 495.350
| 495.350 State Medicaid agency attestations. | |
42:5.0.1.1.11.4.41.27 | SECTION 495.352
| 495.352 Reporting requirements. | |
42:5.0.1.1.11.4.41.28 | SECTION 495.354
| 495.354 Rules for charging equipment. | |
42:5.0.1.1.11.4.41.29 | SECTION 495.356
| 495.356 Nondiscrimination requirements. | |
42:5.0.1.1.11.4.41.30 | SECTION 495.358
| 495.358 Cost allocation plans. | |
42:5.0.1.1.11.4.41.31 | SECTION 495.360
| 495.360 Software and ownership rights. | |
42:5.0.1.1.11.4.41.32 | SECTION 495.362
| 495.362 Retroactive approval of FFP with an effective date of February 18, 2009. | |
42:5.0.1.1.11.4.41.33 | SECTION 495.364
| 495.364 Review and assessment of administrative activities and expenses of Medicaid provider health information technology adoption and operation. | |
42:5.0.1.1.11.4.41.34 | SECTION 495.366
| 495.366 Financial oversight and monitoring of expenditures. | |
42:5.0.1.1.11.4.41.35 | SECTION 495.368
| 495.368 Combating fraud and abuse. | |
42:5.0.1.1.11.4.41.36 | SECTION 495.370
| 495.370 Appeals process for a Medicaid provider receiving electronic health record incentive payments. | |