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Title 42 Part 434 → Subpart B

Title 42 → Chapter IV → Subchapter C → Part 434 → Subpart B

Electronic Code of Federal Regulations e-CFR

Title 42 Part 434 → Subpart B

e-CFR data is current as of November 18, 2019

Title 42Chapter IVSubchapter CPart 434 → Subpart B


Title 42: Public Health
PART 434—CONTRACTS


Subpart B—Contracts with Fiscal Agents and Private Nonmedical Institutions


Contents
§434.10   Contracts with fiscal agents.
§434.12   Contracts with private nonmedical institutions.
§434.14   [Reserved]

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§434.10   Contracts with fiscal agents.

Contracts with fiscal agents must—

(a) Meet the requirements of §434.6;

(b) Include termination procedures that require the contractors to supply promptly all material necessary for continued operation of payment and related systems. This material includes—

(1) Computer programs;

(2) Data files;

(3) User and operation manuals, and other documentation;

(4) System and program documentation; and

(5) Training programs for Medicaid agency staff, their agents or designated representatives in the operation and maintenance of the system;

(c) Offer to the State one or both of the following options, if the fiscal agent or the fiscal agent's subcontractor has a proprietary right to material specified in paragraph (b) of this section:

(1) Purchasing the material; or

(2) Purchasing the use of the material through leasing or other means; and

(d) State that payment to providers will be made in accordance with part 447 of this chapter.

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§434.12   Contracts with private nonmedical institutions.

Contracts with private nonmedical institutions must—

(a) Meet the requirements of §434.6;

(b) Specify a capitation fee based on the cost of the services provided, in accordance with the reimbursement requirements prescribed in part 447 of this chapter; and

(c) Specify when the capitation fee must be paid.

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§434.14   [Reserved]