[Code of Federal Regulations]

[Title 42, Volume 3]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR483.122]



[Page 537]

 

                         TITLE 42--PUBLIC HEALTH

 

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

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 483_REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES--Table 

of Contents

 

 Subpart C_Preadmission Screening and Annual Review of Mentally Ill and 

                      Mentally Retarded Individuals

 

Sec. 483.122  FFP for NF services.



    (a) Basic rule. Except as otherwise may be provided in an 

alternative disposition plan adopted under section 1919(e)(7)(E) of the 

Act, FFP is available in State expenditures for NF services provided to 

a Medicaid eligible individual subject to the requirements of this part 

only if the individual has been determined--

    (1) To need NF care under Sec. 483.116(a) or

    (2) Not to need NF services but to need specialized services, meets 

the requirements of Sec. 483.118(c)(1), and elects to stay in the NF.

    (b) FFP for late reviews. When a preadmission screening has not been 

performed prior to admission or an annual review is not performed 

timely, in accordance with Sec. 483.114(c), but either is performed at 

a later date, FFP is available only for services furnished after the 

screening or review has been performed, subject to the provisions of 

paragraph (a) of this section.