[Code of Federal Regulations] [Title 12, Volume 1] [Revised as of January 1, 2003] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR433.123] [Page 88] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES--(Continued) PART 433--STATE FISCAL ADMINISTRATION--Table of Contents Subpart C--Mechanized Claims Processing and Information Retrieval Systems Sec. 433.123 Notification of changes in system requirements, performance standards or other conditions for approval or reapproval. (a) Whenever CMS modifies system requirements or other conditions for approval under Sec. 433.112 or Sec. 433.116, CMS will-- (1) Publish a notice in the Federal Register making available the proposed changes for public comment; (2) Respond in a subsequent Federal Register notice to comments received; and (3) Issue the new or modified requirements or conditions in the State Medicaid Manual. (b) For changes in system requirements or other conditions for approval, CMS will allow an appropriate period for Medicaid agencies to meet the requirement determining this period on the basis of the requirement's complexity and other relevant factors. (c) Whenever CMS modifies performance standards and other conditions for reapproval under Sec. 433.119, CMS will notify Medicaid agencies at least one calendar quarter before the review period to which the new or modified standards or conditions apply. [57 FR 38782, Aug. 27, 1992]