[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: 42CFR431.11]



[Page 22]

 

                         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 A_Single State Agency

 

Sec.  431.11  Organization for administration.



    (a) Basis and purpose. This section, based on section 1902(a)(4) of 

the Act, prescribes the general organization and staffing requirements 

for the Medicaid agency and the State plan.

    (b) Medical assistance unit. A State plan must provide for a medical 

assistance unit within the Medicaid agency, staffed with a program 

director and other appropriate personnel who participate in the 

development, analysis, and evaluation of the Medicaid program.

    (c) Description of organization. (1) The plan must include--

    (i) A description of the organization and functions of the Medicaid 

agency and an organization chart;

    (ii) A description of the organization and functions of the medical 

assistance unit and an organization chart; and

    (iii) A description of the kinds and number of professional medical 

personnel and supporting staff used in the administration of the plan 

and their responsibilities.

    (d) Eligibility determined by other agencies. If eligibility is 

determined by State agencies other than the Medicaid agency or by local 

agencies under the supervision of other State agencies, the plan must 

include a description of the staff designated by those other agencies 

and the functions they perform in carrying out their responsibility.



[44 FR 17931, Mar. 23, 1979]