[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: 42CFR431.107]



[Page 30-31]

 

                         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.  431.107  Required provider agreement.



    (a) Basis and purpose. This section sets forth State plan 

requirements, based on sections 1902(a)(4), 1902(a)(27), 1902(a)(57), 

and 1902(a)(58) of the Act, that relate to the keeping of records and 

the furnishing of information by all providers of services (including 

individual practitioners and groups of practitioners).

    (b) Agreements. A State plan must provide for an agreement between 

the Medicaid agency and each provider or organization furnishing 

services under the plan in which the provider or organization agrees to:

    (1) Keep any records necessary to disclose the extent of services 

the provider furnishes to recipients;

    (2) On request, furnish to the Medicaid agency, the Secretary, or 

the State Medicaid fraud control unit (if such a unit has been approved 

by the Secretary under Sec.  455.300 of this chapter), any information 

maintained under paragraph (b)(1) of this section and any information 

regarding payments claimed by the provider for furnishing services under 

the plan;

    (3) Comply with the disclosure requirements specified in part 455, 

subpart B of this chapter; and

    (4) Comply with the advance directives requirements for hospitals, 

nursing facilities, providers of home health care and personal care 

services, hospices, and HMOs specified in part 489,



[[Page 31]]



subpart I, and Sec.  417.436(d) of this chapter.



[44 FR 41644, July 17, 1979, as amended at 57 FR 8202, Mar. 6, 1992]