[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: 42CFR431.110]



[Page 32]

 

                         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.  431.110  Participation by Indian Health Service facilities.



    (a) Basis. This section is based on section 1902(a)(4) of the Act, 

proper and efficient administration; 1902(a)(23), free choice of 

provider; and 1911, reimbursement of Indian Health Service facilities.

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

Indian Health Service facility meeting State requirements for Medicaid 

participation must be accepted as a Medicaid provider on the same basis 

as any other qualified provider. However, when State licensure is 

normally required, the facility need not obtain a license but must meet 

all applicable standards for licensure. In determining whether a 

facility meets these standards, a Medicaid agency or State licensing 

authority may not take into account an absence of licensure of any staff 

member of the facility.