Title 42 - Public Health--Volume 4
| 42:4 | Public Health--Volume 4 | |
| 42:4.0.1 | CHAPTER IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) | |
| PARTS 430 - 481 |
| 42:4.0.1.1 | SUBCHAPTER C - MEDICAL ASSISTANCE PROGRAMS | |
| PARTS 430 - 456 |
| 42:4.0.1.1.2.5.8 | General Provisions [SUBJGRP] | |
| 42:4.0.1.1.2.5.9 | Notice [SUBJGRP] | |
| 42:4.0.1.1.2.5.10 | Right to Hearing [SUBJGRP] | |
| 42:4.0.1.1.2.5.11 | Procedures [SUBJGRP] | |
| 42:4.0.1.1.2.5.12 | Federal Financial Participation [SUBJGRP] | |
| 42:4.0.1.1.2.12.13 | Medicaid Eligibility Quality Control (MEQC) Program [SUBJGRP] | |
| 42:4.0.1.1.2.12.14 | Medicaid Quality Control (MQC) Claims Processing Assessment System [SUBJGRP] | |
| 42:4.0.1.1.4.4.17 | Assignment of Rights to Benefits [SUBJGRP] | |
| 42:4.0.1.1.4.4.18 | Cooperative Agreements and Incentive Payments [SUBJGRP] | |
| 42:4.0.1.1.6.2.48 | Mandatory Coverage of Families and Children [SUBJGRP] | |
| 42:4.0.1.1.6.2.49 | Mandatory Coverage of Pregnant Women, Children Under 19, and Newborn Children [SUBJGRP] | |
| 42:4.0.1.1.6.2.50 | Mandatory Coverage of Qualified Family Members [SUBJGRP] | |
| 42:4.0.1.1.6.2.51 | Mandatory Coverage for Individuals Age 19 Through 64 [SUBJGRP] | |
| 42:4.0.1.1.6.2.52 | Mandatory Coverage of the Aged, Blind, and Disabled [SUBJGRP] | |
| 42:4.0.1.1.6.2.53 | Mandatory Coverage of Certain Aliens [SUBJGRP] | |
| 42:4.0.1.1.6.2.54 | Mandatory Coverage of Adoption Assistance and Foster Care Children [SUBJGRP] | |
| 42:4.0.1.1.6.2.55 | Mandatory Coverage of Special Groups [SUBJGRP] | |
| 42:4.0.1.1.6.3.56 | Options for Coverage of Families and Children and the Aged, Blind, and Disabled [SUBJGRP] | |
| 42:4.0.1.1.6.3.57 | Options for Coverage of Families and Children [SUBJGRP] | |
| 42:4.0.1.1.6.3.58 | Options for Coverage of the Aged, Blind, and Disabled [SUBJGRP] | |
| 42:4.0.1.1.6.6.59 | Age [SUBJGRP] | |
| 42:4.0.1.1.6.6.60 | Blindness [SUBJGRP] | |
| 42:4.0.1.1.6.6.61 | Disability [SUBJGRP] | |
| 42:4.0.1.1.6.9.62 | Medically Needy Income Standard [SUBJGRP] | |
| 42:4.0.1.1.6.9.63 | Medically Needy Income Eligibility [SUBJGRP] | |
| 42:4.0.1.1.6.9.64 | Medically Needy Resource Standard [SUBJGRP] | |
| 42:4.0.1.1.6.9.65 | Determining Eligibility on the Basis of Resources [SUBJGRP] | |
| 42:4.0.1.1.6.10.66 | General Methods of Administration [SUBJGRP] | |
| 42:4.0.1.1.6.10.67 | Applications [SUBJGRP] | |
| 42:4.0.1.1.6.10.68 | Determination of Medicaid Eligibility [SUBJGRP] | |
| 42:4.0.1.1.6.10.69 | Redeterminations of Medicaid Eligibility [SUBJGRP] | |
| 42:4.0.1.1.6.10.70 | Furnishing Medicaid [SUBJGRP] | |
| 42:4.0.1.1.6.10.71 | Income and Eligibility Verification Requirements [SUBJGRP] | |
| 42:4.0.1.1.6.11.72 | FFP in Expenditures for Determining Eligibility and Providing Services [SUBJGRP] | |
| 42:4.0.1.1.6.11.73 | Limitations on FFP [SUBJGRP] | |
| 42:4.0.1.1.6.11.74 | Requirements for State Supplements [SUBJGRP] | |
| 42:4.0.1.1.6.11.75 | FFP for Premium Assistance [SUBJGRP] | |
| 42:4.0.1.1.7.3.88 | Options for Coverage of Families and Children and Aged, Blind, and Disabled Individuals, Including Pregnant Women [SUBJGRP] | |
| 42:4.0.1.1.7.3.89 | Options for Coverage of the Aged, Blind, and Disabled [SUBJGRP] | |
| 42:4.0.1.1.7.6.90 | Dependency [SUBJGRP] | |
| 42:4.0.1.1.7.6.91 | Age [SUBJGRP] | |
| 42:4.0.1.1.7.6.92 | Blindness [SUBJGRP] | |
| 42:4.0.1.1.7.6.93 | Disability [SUBJGRP] | |
| 42:4.0.1.1.7.9.94 | Medically Needy Income Standard [SUBJGRP] | |
| 42:4.0.1.1.7.9.95 | Medically Needy Income Eligibility and Liability for Payment of Medical Expenses [SUBJGRP] | |
| 42:4.0.1.1.7.9.96 | Medically Needy Resource Standard [SUBJGRP] | |
| 42:4.0.1.1.7.9.97 | Determining Eligibility on the Basis of Resources [SUBJGRP] | |
| 42:4.0.1.1.7.11.98 | FFP for Expenditures for Determining Eligibility and Providing Services [SUBJGRP] | |
| 42:4.0.1.1.7.12.99 | Presumptive Eligibility for Children [SUBJGRP] | |
| 42:4.0.1.1.12.1.109 | Medicaid Premiums and Cost Sharing [SUBJGRP] | |
| 42:4.0.1.1.12.3.110 | Payment Rates [SUBJGRP] | |
| 42:4.0.1.1.12.3.111 | Federal Financial Participation [SUBJGRP] | |
| 42:4.0.1.1.12.3.112 | Upper Limits [SUBJGRP] | |
| 42:4.0.1.1.12.3.113 | Swing-Bed Hospitals [SUBJGRP] | |
| 42:4.0.1.1.12.6.114 | Outpatient Hospital and Clinic Services [SUBJGRP] | |
| 42:4.0.1.1.12.6.115 | Other Inpatient and Outpatient Facilities [SUBJGRP] | |
| 42:4.0.1.1.12.6.116 | Prepaid Capitation Plans [SUBJGRP] | |
| 42:4.0.1.1.12.6.117 | Rural Health Clinic Services [SUBJGRP] | |
| 42:4.0.1.1.14.3.143 | Certification of Need for Care [SUBJGRP] | |
| 42:4.0.1.1.14.3.144 | Plan of Care [SUBJGRP] | |
| 42:4.0.1.1.14.3.145 | Utilization Review (UR) Plan: General Requirement [SUBJGRP] | |
| 42:4.0.1.1.14.3.146 | UR Plan: Administrative Requirements [SUBJGRP] | |
| 42:4.0.1.1.14.3.147 | UR Plan: Informational Requirements [SUBJGRP] | |
| 42:4.0.1.1.14.3.148 | UR Plan: Review of Need for Admission 1 [SUBJGRP] | |
| 42:4.0.1.1.14.3.149 | UR Plan: Review of Need for Continued Stay [SUBJGRP] | |
| 42:4.0.1.1.14.3.150 | UR Plan: Medical Care Evaluation Studies [SUBJGRP] | |
| 42:4.0.1.1.14.4.151 | Certification of Need for Care [SUBJGRP] | |
| 42:4.0.1.1.14.4.152 | Medical, Psychiatric, and Social Evaluations and Admission Review [SUBJGRP] | |
| 42:4.0.1.1.14.4.153 | Plan of Care [SUBJGRP] | |
| 42:4.0.1.1.14.4.154 | Utilization Review (UR) Plan: General Requirements [SUBJGRP] | |
| 42:4.0.1.1.14.4.155 | UR Plan: Administrative Requirements [SUBJGRP] | |
| 42:4.0.1.1.14.4.156 | UR Plan: Informational Requirements [SUBJGRP] | |
| 42:4.0.1.1.14.4.157 | UR Plan: Review of Need for Continued Stay [SUBJGRP] | |
| 42:4.0.1.1.14.4.158 | UR Plan: Medical Care Evaluation Studies [SUBJGRP] | |
| 42:4.0.1.1.14.6.159 | Certification of Need for Care [SUBJGRP] | |
| 42:4.0.1.1.14.6.160 | Medical, Psychological, and Social Evaluations and Admission Review [SUBJGRP] | |
| 42:4.0.1.1.14.6.161 | Plan of Care [SUBJGRP] | |
| 42:4.0.1.1.14.6.162 | Utilization Review (UR) Plan: General Requirement [SUBJGRP] | |
| 42:4.0.1.1.14.6.163 | UR Plan: Administrative Requirements [SUBJGRP] | |
| 42:4.0.1.1.14.6.164 | UR Plan: Informational Requirements [SUBJGRP] | |
| 42:4.0.1.1.14.6.165 | UR Plan: Review of Need for Continued Stay [SUBJGRP] | |
| 42:4.0.1.1.14.8.166 | UR Plan: Waiver of Requirements [SUBJGRP] | |
| 42:4.0.1.1.14.8.167 | UR Plan: Remote Facility Variances from Time Requirements [SUBJGRP] | |
| 42:4.0.1.2 | SUBCHAPTER D - STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) | |
| PARTS 457 - 457 |
| 42:4.0.1.2.15.12.175 | General Provisions [SUBJGRP] | |
| 42:4.0.1.2.15.12.176 | State Responsibilities [SUBJGRP] | |
| 42:4.0.1.2.15.12.177 | Enrollee Rights and Protections [SUBJGRP] | |
| 42:4.0.1.2.15.12.178 | MCO, PIHP, and PAHP Standards [SUBJGRP] | |
| 42:4.0.1.2.15.12.179 | Quality Measurement and Improvement; External Quality Review [SUBJGRP] | |
| 42:4.0.1.2.15.12.180 | Grievance System [SUBJGRP] | |
| 42:4.0.1.2.15.12.181 | Sanctions [SUBJGRP] | |
| 42:4.0.1.3 | SUBCHAPTER E - PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) | |
| PARTS 460 - 460 |
| 42:4.0.1.4 | SUBCHAPTER F - QUALITY IMPROVEMENT ORGANIZATIONS | |
| PARTS 475 - 481 |
| 42:4.0.1.4.18.3.184 | General Provisions [SUBJGRP] | |
| 42:4.0.1.4.18.3.185 | QIO Review Functions [SUBJGRP] | |
| 42:4.0.1.4.20.2.191 | General Provisions [SUBJGRP] | |
| 42:4.0.1.4.20.2.192 | QIO Access to Information [SUBJGRP] | |
| 42:4.0.1.4.20.2.193 | QIO Responsibilities [SUBJGRP] | |
| 42:4.0.1.4.20.2.194 | Disclosure of Nonconfidential Information [SUBJGRP] | |
| 42:4.0.1.4.20.2.195 | Disclosure of Confidential Information [SUBJGRP] | |