[Code of Federal Regulations] [Title 42, Volume 3] [Revised as of October 1, 2004] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR441.180] [Page 264] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) PART 441_SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC SERVICES--Table of Contents Subpart D_Inpatient Psychiatric Services for Individuals Under Age 21 in Psychiatric Facilities or Programs Sec. 441.180 Maintenance of effort: General rule. FFP is available only if the State maintains fiscal effort as prescribed under this subpart.