Title 42

PART 495 SUBPART D

Subpart D - Requirements Specific to the Medicaid Program

42:5.0.1.1.11.4.41.1SECTION 495.300
   495.300 Basis and purpose.
42:5.0.1.1.11.4.41.2SECTION 495.302
   495.302 Definitions.
42:5.0.1.1.11.4.41.3SECTION 495.304
   495.304 Medicaid provider scope and eligibility.
42:5.0.1.1.11.4.41.4SECTION 495.306
   495.306 Establishing patient volume.
42:5.0.1.1.11.4.41.5SECTION 495.308
   495.308 Net average allowable costs as the basis for determining the incentive payment.
42:5.0.1.1.11.4.41.6SECTION 495.310
   495.310 Medicaid provider incentive payments.
42:5.0.1.1.11.4.41.7SECTION 495.312
   495.312 Process for payments.
42:5.0.1.1.11.4.41.8SECTION 495.314
   495.314 Activities required to receive an incentive payment.
42:5.0.1.1.11.4.41.9SECTION 495.316
   495.316 State monitoring and reporting regarding activities required to receive an incentive payment.
42:5.0.1.1.11.4.41.10SECTION 495.318
   495.318 State responsibilities for receiving FFP.
42:5.0.1.1.11.4.41.11SECTION 495.320
   495.320 FFP for payments to Medicaid providers.
42:5.0.1.1.11.4.41.12SECTION 495.322
   495.322 FFP for reasonable administrative expenses.
42:5.0.1.1.11.4.41.13SECTION 495.324
   495.324 Prior approval conditions.
42:5.0.1.1.11.4.41.14SECTION 495.326
   495.326 Disallowance of FFP.
42:5.0.1.1.11.4.41.15SECTION 495.328
   495.328 Request for reconsideration of adverse determination.
42:5.0.1.1.11.4.41.16SECTION 495.330
   495.330 Termination of FFP for failure to provide access to information.
42:5.0.1.1.11.4.41.17SECTION 495.332
   495.332 State Medicaid health information technology (HIT) plan requirements.
42:5.0.1.1.11.4.41.18SECTION 495.334
   495.334 [Reserved]
42:5.0.1.1.11.4.41.19SECTION 495.336
   495.336 Health information technology planning advance planning document requirements (HIT PAPD).
42:5.0.1.1.11.4.41.20SECTION 495.338
   495.338 Health information technology implementation advance planning document requirements (HIT IAPD).
42:5.0.1.1.11.4.41.21SECTION 495.340
   495.340 As-needed HIT PAPD update and as-needed HIT IAPD update requirements.
42:5.0.1.1.11.4.41.22SECTION 495.342
   495.342 Annual HIT IAPD requirements.
42:5.0.1.1.11.4.41.23SECTION 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.
42:5.0.1.1.11.4.41.24SECTION 495.346
   495.346 Access to systems and records.
42:5.0.1.1.11.4.41.25SECTION 495.348
   495.348 Procurement standards.
42:5.0.1.1.11.4.41.26SECTION 495.350
   495.350 State Medicaid agency attestations.
42:5.0.1.1.11.4.41.27SECTION 495.352
   495.352 Reporting requirements.
42:5.0.1.1.11.4.41.28SECTION 495.354
   495.354 Rules for charging equipment.
42:5.0.1.1.11.4.41.29SECTION 495.356
   495.356 Nondiscrimination requirements.
42:5.0.1.1.11.4.41.30SECTION 495.358
   495.358 Cost allocation plans.
42:5.0.1.1.11.4.41.31SECTION 495.360
   495.360 Software and ownership rights.
42:5.0.1.1.11.4.41.32SECTION 495.362
   495.362 Retroactive approval of FFP with an effective date of February 18, 2009.
42:5.0.1.1.11.4.41.33SECTION 495.364
   495.364 Review and assessment of administrative activities and expenses of Medicaid provider health information technology adoption and operation.
42:5.0.1.1.11.4.41.34SECTION 495.366
   495.366 Financial oversight and monitoring of expenditures.
42:5.0.1.1.11.4.41.35SECTION 495.368
   495.368 Combating fraud and abuse.
42:5.0.1.1.11.4.41.36SECTION 495.370
   495.370 Appeals process for a Medicaid provider receiving electronic health record incentive payments.