[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: 42CFR430.32]



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                         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 C_Grants; Reviews and Audits; Withholding for Failure To Comply; 

   Deferral and Disallowance of Claims; Reduction of Federal Medicaid 

                                Payments

 

Sec.  430.32  Program reviews.



    (a) Review of State and local administration. In order to determine 

whether the State is complying with the Federal requirements and the 

provisions of its plan, CMS reviews State and local administration 

through analysis of the State's policies and procedures, on-site review 

of selected aspects of agency operation, and examination of samples of 

individual case records.

    (b) Quality control program. The State itself is required to carry 

out a continuing quality control program as set forth in part 431, 

subpart P, of this chapter.

    (c) Action on review findings. If Federal or State reviews reveal 

serious problems with respect to compliance with any Federal 

requirement, the State must correct its practice accordingly.



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