Title 42

PART 440

Part 440 - Services: General Provisions

PART 440 - SERVICES: GENERAL PROVISIONS Authority:42 U.S.C. 1302. Source:43 FR 45224, Sept. 29, 1978, unless otherwise noted.

42:4.0.1.1.9.1SUBPART A
Subpart A - Definitions
42:4.0.1.1.9.1.100.1SECTION 440.1
   440.1 Basis and purpose.
42:4.0.1.1.9.1.100.2SECTION 440.2
   440.2 Specific definitions; definitions of services for FFP purposes.
42:4.0.1.1.9.1.100.3SECTION 440.10
   440.10 Inpatient hospital services, other than services in an institution for mental diseases.
42:4.0.1.1.9.1.100.4SECTION 440.20
   440.20 Outpatient hospital services and rural health clinic services.
42:4.0.1.1.9.1.100.5SECTION 440.30
   440.30 Other laboratory and X-ray services.
42:4.0.1.1.9.1.100.6SECTION 440.40
   440.40 Nursing facility services for individuals age 21 or older (other than services in an institution for mental disease), EPSDT, and family planning services and supplies.
42:4.0.1.1.9.1.100.7SECTION 440.50
   440.50 Physicians' services and medical and surgical services of a dentist.
42:4.0.1.1.9.1.100.8SECTION 440.60
   440.60 Medical or other remedial care provided by licensed practitioners.
42:4.0.1.1.9.1.100.9SECTION 440.70
   440.70 Home health services.
42:4.0.1.1.9.1.100.10SECTION 440.80
   440.80 Private duty nursing services.
42:4.0.1.1.9.1.100.11SECTION 440.90
   440.90 Clinic services.
42:4.0.1.1.9.1.100.12SECTION 440.100
   440.100 Dental services.
42:4.0.1.1.9.1.100.13SECTION 440.110
   440.110 Physical therapy, occupational therapy, and services for individuals with speech, hearing, and language disorders.
42:4.0.1.1.9.1.100.14SECTION 440.120
   440.120 Prescribed drugs, dentures, prosthetic devices, and eyeglasses.
42:4.0.1.1.9.1.100.15SECTION 440.130
   440.130 Diagnostic, screening, preventive, and rehabilitative services.
42:4.0.1.1.9.1.100.16SECTION 440.140
   440.140 Inpatient hospital services, nursing facility services, and intermediate care facility services for individuals age 65 or older in institutions for mental diseases.
42:4.0.1.1.9.1.100.17SECTION 440.150
   440.150 Intermediate care facility (ICF/IID) services.
42:4.0.1.1.9.1.100.18SECTION 440.155
   440.155 Nursing facility services, other than in institutions for mental diseases.
42:4.0.1.1.9.1.100.19SECTION 440.160
   440.160 Inpatient psychiatric services for individuals under age 21.
42:4.0.1.1.9.1.100.20SECTION 440.165
   440.165 Nurse-midwife service.
42:4.0.1.1.9.1.100.21SECTION 440.166
   440.166 Nurse practitioner services.
42:4.0.1.1.9.1.100.22SECTION 440.167
   440.167 Personal care services.
42:4.0.1.1.9.1.100.23SECTION 440.168
   440.168 Primary care case management services.
42:4.0.1.1.9.1.100.24SECTION 440.169
   440.169 Case management services.
42:4.0.1.1.9.1.100.25SECTION 440.170
   440.170 Any other medical care or remedial care recognized under State law and specified by the Secretary.
42:4.0.1.1.9.1.100.26SECTION 440.180
   440.180 Home and community-based waiver services.
42:4.0.1.1.9.1.100.27SECTION 440.181
   440.181 Home and community-based services for individuals age 65 or older.
42:4.0.1.1.9.1.100.28SECTION 440.182
   440.182 State plan home and community-based services.
42:4.0.1.1.9.1.100.29SECTION 440.185
   440.185 Respiratory care for ventilator-dependent individuals.
42:4.0.1.1.9.2SUBPART B
Subpart B - Requirements and Limits Applicable to All Services
42:4.0.1.1.9.2.100.1SECTION 440.200
   440.200 Basis, purpose, and scope.
42:4.0.1.1.9.2.100.2SECTION 440.210
   440.210 Required services for the categorically needy.
42:4.0.1.1.9.2.100.3SECTION 440.220
   440.220 Required services for the medically needy.
42:4.0.1.1.9.2.100.4SECTION 440.225
   440.225 Optional services.
42:4.0.1.1.9.2.100.5SECTION 440.230
   440.230 Sufficiency of amount, duration, and scope.
42:4.0.1.1.9.2.100.6SECTION 440.240
   440.240 Comparability of services for groups.
42:4.0.1.1.9.2.100.7SECTION 440.250
   440.250 Limits on comparability of services.
42:4.0.1.1.9.2.100.8SECTION 440.255
   440.255 Limited services available to certain aliens.
42:4.0.1.1.9.2.100.9SECTION 440.260
   440.260 Methods and standards to assure quality of services.
42:4.0.1.1.9.2.100.10SECTION 440.262
   440.262 Access and cultural considerations.
42:4.0.1.1.9.2.100.11SECTION 440.270
   440.270 Religious objections.
42:4.0.1.1.9.3SUBPART C
Subpart C - Benchmark Benefit and Benchmark-Equivalent Coverage
42:4.0.1.1.9.3.100.1SECTION 440.300
   440.300 Basis.
42:4.0.1.1.9.3.100.2SECTION 440.305
   440.305 Scope.
42:4.0.1.1.9.3.100.3SECTION 440.310
   440.310 Applicability.
42:4.0.1.1.9.3.100.4SECTION 440.315
   440.315 Exempt individuals.
42:4.0.1.1.9.3.100.5SECTION 440.320
   440.320 State plan requirements: Optional enrollment for exempt individuals.
42:4.0.1.1.9.3.100.6SECTION 440.325
   440.325 State plan requirements: Coverage and benefits.
42:4.0.1.1.9.3.100.7SECTION 440.330
   440.330 Benchmark health benefits coverage.
42:4.0.1.1.9.3.100.8SECTION 440.335
   440.335 Benchmark-equivalent health benefits coverage.
42:4.0.1.1.9.3.100.9SECTION 440.340
   440.340 Actuarial report for benchmark-equivalent coverage.
42:4.0.1.1.9.3.100.10SECTION 440.345
   440.345 EPSDT and other required benefits.
42:4.0.1.1.9.3.100.11SECTION 440.347
   440.347 Essential health benefits.
42:4.0.1.1.9.3.100.12SECTION 440.350
   440.350 Employer-sponsored insurance health plans.
42:4.0.1.1.9.3.100.13SECTION 440.355
   440.355 Payment of premiums.
42:4.0.1.1.9.3.100.14SECTION 440.360
   440.360 State plan requirements for providing additional services.
42:4.0.1.1.9.3.100.15SECTION 440.365
   440.365 Coverage of rural health clinic and federally qualified health center (FQHC) services.
42:4.0.1.1.9.3.100.16SECTION 440.370
   440.370 Economy and efficiency.
42:4.0.1.1.9.3.100.17SECTION 440.375
   440.375 Comparability.
42:4.0.1.1.9.3.100.18SECTION 440.380
   440.380 Statewideness.
42:4.0.1.1.9.3.100.19SECTION 440.385
   440.385 Delivery of benchmark and benchmark-equivalent coverage through managed care entities.
42:4.0.1.1.9.3.100.20SECTION 440.386
   440.386 Public notice.
42:4.0.1.1.9.3.100.21SECTION 440.390
   440.390 Assurance of transportation.
42:4.0.1.1.9.3.100.22SECTION 440.395
   440.395 Parity in mental health and substance use disorder benefits.