42 C.F.R. PART 433--STATE FISCAL ADMINISTRATION
TITLE 42--Public Health
CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER C--MEDICAL ASSISTANCE PROGRAMS
PART 433--STATE FISCAL ADMINISTRATION
Subpart A--FEDERAL MATCHING AND GENERAL ADMINISTRATION PROVISIONS
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| Rates of FFP for program services.
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| Enhanced FMAP rate for children.
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| Rates of FFP for administration.
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| Fiscal policies and accountability.
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| Equipment--Federal financial participation.
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| Reporting provider payments to Internal Revenue Service.
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| Interest charge on disallowed claims for FFP.
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| Treatment of uncashed or cancelled (voided) Medicaid checks.
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Subpart B--GENERAL ADMINISTRATIVE REQUIREMENTS STATE FINANCIAL PARTICIPATION
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| Basis, scope, and applicability.
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| Public funds as the State share of financial participation.
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| Health care-related taxes defined.
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| Classes of health care services and providers defined.
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| General rules regarding revenues from provider-related donations and health care-related taxes.
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| Provider-related donations and health care-related taxes during a State's transition period.
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| Limitations on level of FFP in State expenditures from provider-related donations and health care-related taxes during the transition period.
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| Permissible provider-related donations after the transition period.
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| Limitations on level of FFP for permissible provider-related donations.
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| Permissible health care-related taxes after the transition period.
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| Limitations on level of FFP for revenues from health care-related taxes after the transition period.
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| Waiver provisions applicable to health care-related taxes.
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Subpart C--MECHANIZED CLAIMS PROCESSING AND INFORMATION RETRIEVAL SYSTEMS
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| Basis, purpose, and applicability.
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| FFP for design, development, installation or enhancement of mechanized claims processing and information retrieval systems.
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| Reduction of FFP for failure to operate a system and obtain initial approval.
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| Procedures for obtaining initial approval; notice of decision.
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| FFP for operation of mechanized claims processing and information retrieval systems.
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| Initial approval of replacement systems.
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| Conditions for reapproval; notice of decision.
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| Procedures for reduction of FFP after reapproval review.
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| Reconsideration of the decision to reduce FFP after reapproval review.
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| Reapproval of a disapproved system.
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| Notification of changes in system requirements, performance standards or other conditions for approval or reapproval.
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| Termination of FFP for failure to provide access to claims processing and information retrieval systems.
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| Waiver of conditions of initial operation and approval.
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| Waiver for noncompliance with conditions of approval and reapproval.
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Subpart D--THIRD PARTY LIABILITY
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| Identifying liable third parties.
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| FFP and repayment of Federal share.
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| Assignment of rights to benefits--State plan requirements.
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| Rights assigned; assignment method.
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| Cooperation in establishing paternity and in obtaining medical support and payments and in identifying and providing information to assist in pursuing third parties who may be liable to pay.
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| Denial or termination of eligibility.
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| Cooperative agreements and incentive payments--State plan requirements.
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| Requirements for cooperative agreements for third party collections.
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| Incentive payments to States and political subdivisions.
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| Distribution of collections.
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Subpart E--[RESERVED]
Subpart F--REFUNDING OF FEDERAL SHARE OF MEDICAID OVERPAYMENTS TO PROVIDERS
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| Applicability of requirements.
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| Basic requirements for refunds.
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| When discovery of overpayment occurs and its significance.
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| Overpayments involving providers who are bankrupt or out of business.
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| Procedures for refunds to CMS.
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