[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: 42CFR431.105]



[Page 30]

 

                         TITLE 42--PUBLIC HEALTH

 

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

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 431_STATE ORGANIZATION AND GENERAL ADMINISTRATION--Table of Contents

 

        Subpart C_Administrative Requirements: Provider Relations

 

Sec.  431.105  Consultation to medical facilities.





    (a) Basis and purpose. This section implements section 1902(a)(24) 

of the Act, which requires that the State plan provide for consultative 

services by State agencies to certain institutions furnishing Medicaid 

services.

    (b) State plan requirements. A State plan must provide that health 

agencies and other appropriate State agencies furnish consultative 

services to hospitals, nursing homes, home health agencies, clinics, and 

laboratories in order to assist these facilities to--

    (1) Qualify for payments under the maternal and child health and 

crippled children's program (title V of the Act), Medicaid or Medicare;

    (2) Establish and maintain fiscal records necessary for the proper 

and efficient administration of the Act; and

    (3) Provide information needed to determine payments due under the 

Act for services furnished to recipients.

    (c) State plan option: Consultation to other facilities. The plan 

may provide that health agencies and other appropriate State agencies 

furnish consultation to other types of facilities if those facilities 

are specified in the plan and provide medical care to individuals 

receiving services under the programs specified in paragraph (b) of this 

section.