[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: 42CFR431.56]



[Page 29]

 

                         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 B_General Administrative Requirements

 

Sec.  431.56  Special waiver provisions applicable to American Samoa 



and the Northern Mariana Islands.



    (a) Statutory basis. Section 1902(j) of the Act provides for waiver 

of all but three of the title XIX requirements, in the case of American 

Samoa and the Northern Mariana Islands.

    (b) Waiver provisions. American Samoa or the Northern Mariana 

Islands may request, and CMS may approve, a waiver of any of the title 

XIX requirements except the following:

    (1) The Federal medical assistance percentage specified in section 

1903 of the Act and Sec.  433.10(b) of this chapter.

    (2) The limit imposed by section 1108(c) of the Act on the amount of 

Federal funds payable to American Samoa or the Northern Mariana Islands 

for care and services that meet the section 1905(a) definition for 

Medicaid assistance.

    (3) The requirement that payment be made only with respect to 

expenditure made by American Samoa or the Northern Mariana Islands for 

care and services that meet the section 1905(a) definition of medical 

assistance.



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