[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: 42CFR431.12]



[Page 22-23]

 

                         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.  431.12  Medical care advisory committee.



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

the Act, prescribes State plan requirements for establishment of a 

committee to advise the Medicaid agency about health and medical care 

services.

    (b) State plan requirement. A State plan must provide for a medical 

care advisory committee meeting the requirements of this section to 

advise the Medicaid agency director about health and medical care 

services.

    (c) Appointment of members. The agency director, or a higher State 

authority, must appoint members to the advisory committee on a rotating 

and continuous basis.

    (d) Committee membership. The committee must include--

    (1) Board-certified physicians and other representatives of the 

health professions who are familiar with the medical needs of low-income 

population groups and with the resources available and required for 

their care;

    (2) Members of consumers' groups, including Medicaid recipients, and 

consumer organizations such as labor unions, cooperatives, consumer-

sponsored prepaid group practice plans, and others; and

    (3) The director of the public welfare department or the public 

health department, whichever does not head the Medicaid agency.

    (e) Committee participation. The committee must have opportunity for 

participation in policy development and program administration, 

including furthering the participation of recipient members in the 

agency program.

    (f) Committee staff assistance and financial help. The agency must 

provide the committee with--

    (1) Staff assistance from the agency and independent technical 

assistance as needed to enable it to make effective recommendations; and

    (2) Financial arrangements, if necessary, to make possible the 

participation of recipient members.



[[Page 23]]



    (g) Federal financial participation. FFP is available at 50 percent 

in expenditures for the committee's activities.