[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

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

[CITE: 42CFR430.20]



[Page 8]

 

                         TITLE 42--PUBLIC HEALTH

 

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

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 430_GRANTS TO STATES FOR MEDICAL ASSISTANCE PROGRAMS--Table of 

 

                          Subpart B_State Plans

 

Sec.  430.20  Effective dates of State plans and plan amendments.



    For purposes of FFP, the following rules apply:

    (a) New plans. The effective date of a new plan--

    (1) May not be earlier than the first day of the quarter in which an 

approvable plan is submitted to the regional office; and

    (2) With respect to expenditures for medical assistance, may not be 

earlier than the first day on which the plan is in operation on a 

statewide basis.

    (b) Plan amendment. (1) For a plan amendment that provides 

additional services to individuals eligible under the approved plan, 

increases the payment amounts for services already included in the plan, 

or makes additional groups eligible for services provided under the 

approved plan, the effective date is determined in accordance with 

paragraph (a) of this section.

    (2) For a plan amendment that changes the State's payment method and 

standards, the rules of Sec.  447.256 of this chapter apply.

    (3) For other plan amendments, the effective date may be a date 

requested by the State if CMS approves it.



[53 FR 36571, Sept. 21, 1988, as amended at 56 FR 8845, Mar. 1, 1991]