42 CFR Part 433
PART 433—STATE FISCAL ADMINISTRATION
- PART 433—STATE FISCAL ADMINISTRATION
- Chapter IV—Centers for Medicare & Medicaid Services, Department of Health and Human Services › Subchapter C—Medical Assistance Programs
- § 433.1 Purpose.
- Subpart A—Federal Matching and General Administration Provisions
- § 433.8 [Reserved]
- § 433.10 Rates of FFP for program services.
- § 433.11 Enhanced FMAP rate for children.
- § 433.15 Rates of FFP for administration.
- § 433.32 Fiscal policies and accountability.
- § 433.34 Cost allocation.
- § 433.35 Equipment—Federal financial participation.
- § 433.36 Liens and recoveries.
- § 433.37 Reporting provider payments to Internal Revenue Service.
- § 433.38 Interest charge on disallowed claims for FFP.
- § 433.40 Treatment of uncashed or cancelled (voided) Medicaid checks.
- Subpart B—General Administrative Requirements State Financial Participation
- § 433.50 Basis, scope, and applicability.
- § 433.51 Public Funds as the State share of financial participation.
- § 433.52 General definitions.
- § 433.53 State plan requirements.
- § 433.54 Bona fide donations.
- § 433.55 Health care-related taxes defined.
- § 433.56 Classes of health care services and providers defined.
- § 433.57 General rules regarding revenues from provider-related donations and health care-related taxes.
- §§ 433.58-433.60 [Reserved]
- § 433.66 Permissible provider-related donations.
- § 433.67 Limitations on level of FFP for permissible provider-related donations.
- § 433.68 Permissible health care-related taxes.
- § 433.70 Limitation on level of FFP for revenues from health care-related taxes.
- § 433.72 Waiver provisions applicable to health care-related taxes.
- § 433.74 Reporting requirements.
- Subpart C—Mechanized Claims Processing and Information Retrieval Systems
- § 433.110 Basis, purpose, and applicability.
- § 433.111 Definitions.
- § 433.112 FFP for design, development, installation or enhancement of mechanized processing and information retrieval systems.
- § 433.114 Procedures for obtaining initial approval; notice of decision.
- § 433.116 FFP for operation of mechanized claims processing and information retrieval systems.
- § 433.117 Initial approval of replacement systems.
- § 433.119 Conditions for reapproval; notice of decision.
- § 433.120 Procedures for reduction of FFP after reapproval review.
- § 433.121 Reconsideration of the decision to reduce FFP after reapproval review.
- § 433.122 Reapproval of a disapproved system.
- § 433.123 Notification of changes in system requirements, performance standards or other conditions for approval or reapproval.
- § 433.127 Termination of FFP for failure to provide access to claims processing and information retrieval systems.
- § 433.131 Waiver for noncompliance with conditions of approval and reapproval.
- Subpart D—Third Party Liability
- § 433.135 Basis and purpose.
- § 433.136 Definitions.
- § 433.137 State plan requirements.
- § 433.138 Identifying liable third parties.
- § 433.139 Payment of claims.
- § 433.140 FFP and repayment of Federal share.
- Assignment of Rights to Benefits
- § 433.145 Assignment of rights to benefits—State plan requirements.
- § 433.146 Rights assigned; assignment method.
- § 433.147 Cooperation in establishing the identity of a child's parents 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.
- § 433.148 Denial or termination of eligibility.
- Cooperative Agreements and Incentive Payments
- § 433.151 Cooperative agreements and incentive payments—State plan requirements.
- § 433.152 Requirements for cooperative agreements for third party collections.
- § 433.153 Incentive payments to States and political subdivisions.
- § 433.154 Distribution of collections.
- Subpart E—Methodologies for Determining Federal Share of Medicaid Expenditures for Adult Eligibility Group
- § 433.202 Scope.
- § 433.204 Definitions.
- § 433.206 Threshold methodology.
- Subpart F—Refunding of Federal Share of Medicaid Overpayments to Providers
- § 433.300 Basis.
- § 433.302 Scope of subpart.
- § 433.304 Definitions.
- § 433.310 Applicability of requirements.
- § 433.312 Basic requirements for refunds.
- § 433.316 When discovery of overpayment occurs and its significance.
- § 433.318 Overpayments involving providers who are bankrupt or out of business.
- § 433.320 Procedures for refunds to CMS.
- § 433.322 Maintenance of Records.
- Subpart G—Temporary FMAP Increase During the Public Health Emergency for COVID-19
- § 433.400 Continued enrollment for temporary FMAP increase.
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