42 C.F.R. PART 441--SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC SERVICES


TITLE 42--Public Health

CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES

SUBCHAPTER C--MEDICAL ASSISTANCE PROGRAMS

PART 441--SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC SERVICES

rule
�441.1
Purpose.

Subpart A--GENERAL PROVISIONS

�441.10
Basis.
�441.11
Continuation of FFP for institutional services.
�441.12
Inpatient hospital tests.
�441.13
Prohibitions on FFP: Institutionalized individuals.
�441.15
Home health services.
�441.16
Home health agency requirements for surety bonds; Prohibition on FFP.
�441.17
Laboratory services.
�441.20
Family planning services.
�441.21
Nurse-midwife services.
�441.22
Nurse practitioner services.
�441.25
Prohibition on FFP for certain prescribed drugs.
�441.30
Optometric services.
�441.35
Organ transplants.
�441.40
End-stage renal disease.
rule

Subpart B--EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT (EPSDT) OF INDIVIDUALS UNDER AGE 21

�441.50
Basis and purpose.
�441.55
State plan requirements.
�441.56
Required activities.
�441.57
Discretionary services.
�441.58
Periodicity schedule.
�441.59
Treatment of requests for EPSDT screening services.
�441.60
Continuing care.
�441.61
Utilization of providers and coordination with related programs.
�441.62
Transportation and scheduling assistance.
rule

Subpart C--MEDICAID FOR INDIVIDUALS AGE 65 OR OVER IN INSTITUTIONS FOR MENTAL DISEASES

�441.100
Basis and purpose.
�441.101
State plan requirements.
�441.102
Plan of care for institutionalized recipients.
�441.103
Alternate plans of care.
�441.105
Methods of administration.
�441.106
Comprehensive mental health program.
rule

Subpart D--INPATIENT PSYCHIATRIC SERVICES FOR INDIVIDUALS UNDER AGE 21 IN PSYCHIATRIC FACILITIES OR PROGRAMS

�441.150
Basis and purpose.
�441.151
General requirements.
�441.152
Certification of need for services.
�441.153
Team certifying need for services.
�441.154
Active treatment.
�441.155
Individual plan of care.
�441.156
Team developing individual plan of care.
�441.180
Maintenance of effort: General rule.
�441.181
Maintenance of effort: Explanation of terms and requirements.
�441.182
Maintenance of effort: Computation.
rule

Subpart E--ABORTIONS

�441.200
Basis and purpose.
�441.201
Definition.
�441.202
General rule.
�441.203
Life of the mother would be endangered.
��441.204-441.205
[Reserved]
�441.206
Documentation needed by the Medicaid agency.
�441.207
Drugs and devices and termination of ectopic pregnancies.
�441.208
Recordkeeping requirements.
rule

Subpart F--STERILIZATIONS

�441.250
Applicability.
�441.251
Definitions.
�441.252
State plan requirements.
�441.253
Sterilization of a mentally competent individual aged 21 or older.
�441.254
Mentally incompetent or institutionalized individuals.
�441.255
Sterilization by hysterectomy.
�441.256
Additional condition for Federal financial participation (FFP).
�441.257
Informed consent.
�441.258
Consent form requirements.
�441.259
Review of regulations.
Appendix
Appendix to Subpart F of Part 441--Required Consent Form
rule

Subpart G--HOME AND COMMUNITY-BASED SERVICES: WAIVER REQUIREMENTS

�441.300
Basis and purpose.
�441.301
Contents of request for a waiver.
�441.302
State assurances.
�441.303
Supporting documentation required.
�441.304
Duration of a waiver.
�441.305
Replacement of recipients in approved waiver programs.
�441.306
Cooperative arrangements with the Maternal and Child Health program.
�441.307
Notification of a waiver termination.
�441.308
Hearings procedures for waiver terminations.
�441.310
Limits on Federal financial participation (FFP).
rule

Subpart H--HOME AND COMMUNITY-BASED SERVICES WAIVERS FOR INDIVIDUALS AGE 65 OR OLDER: WAIVER REQUIREMENTS

�441.350
Basis and purpose.
�441.351
Contents of a request for a waiver.
�441.352
State assurances.
�441.353
Supporting documentation required.
�441.354
Aggregate projected expenditure limit (APEL).
�441.355
Duration, extension, and amendment of a waiver.
�441.356
Waiver termination.
�441.357
Hearing procedures for waiver denials.
�441.360
Limits on Federal financial participation (FFP).
�441.365
Periodic evaluation, assessment, and review.
rule

Subpart I--COMMUNITY SUPPORTED LIVING ARRANGEMENTS SERVICES

�441.400
Basis and purpose.
�441.402
State plan requirements.
�441.404
Minimum protection requirements.
rule



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