Title 42

PART 495 SUBPART D

Subpart D - Requirements Specific to the Medicaid Program

• 42 U.S.C. 1302 and 1395hh.
• 75 FR 44565, July 28, 2010, unless otherwise noted.

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.

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