[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: 42CFR433.11]



[Page 74]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 433_STATE FISCAL ADMINISTRATION--Table of Contents

 

    Subpart A_Federal Matching and General Administration Provisions

 

Sec.  433.11  Enhanced FMAP rate for children.



    (a) Subject to the conditions in paragraph (b) of this section, the 

enhanced FMAP determined in accordance with Sec.  457.622 of this 

chapter will be used to determine the Federal share of State 

expenditures, except any expenditures pursuant to section 1923 of the 

Act for payments to disproportionate share hospitals for--

    (1) Services provided to optional targeted low-income children 

described in Sec.  435.4 or Sec.  436.3 of this chapter; and

    (2) Services provided to children born before October 1, 1983, with 

or without group health coverage or other health insurance coverage, who 

would be described in section 1902(l)(1)(D) of the Act (poverty-level-

related children's groups) if--

    (i) They had been born on or after that date; and

    (ii) They would not qualify for medical assistance under the State 

plan in effect on March 31, 1997.

    (b) Enhanced FMAP is not available if--

    (1) A State adopts income and resource standards and methodologies 

for purposes of determining a child's eligibility under the Medicaid 

State plan that are more restrictive than those applied under policies 

of the State plan (as described in the definition of optional targeted 

low-income children at Sec.  435.4 of this chapter) in effect on June 1, 

1997; or

    (2) No funds are available in the State's title XXI allotment, as 

determined under part 457, subpart F of this chapter for the quarter 

enhanced FMAP is claimed; or

    (3) The State fails to maintain a valid method of identifying 

services provided on behalf of children listed in paragraph (a) of this 

section.



[66 FR 2666, Jan. 11, 2001]



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