[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: 42CFR433.110]



[Page 90]

 

                         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 C_Mechanized Claims Processing and Information Retrieval Systems

 

Sec.  433.110  Basis, purpose, and applicability.





    (a) This subpart implements the following sections of the Act:

    (1) Section 1903(a)(3) of the Act, which provides for FFP in State 

expenditures for the design, development, or installation of mechanized 

claims processing and information retrieval systems and for the 

operation of certain systems. Additional HHS regulations and CMS 

procedures for implementing these regulations are in 45 CFR part 74, 45 

CFR part 95, subpart F, and part 11, State Medicaid Manual; and

    (2) Section 1903(r) of the Act, which--(i) Requires reductions in 

FFP otherwise due a State under section 1903(a) if a State fails to meet 

certain deadlines for operating a mechanized claims processing and 

information retrieval system or if the system fails to meet certain 

conditions of approval or conditions of reapproval;

    (ii) Requires a Federal performance review at least every three 

years of the mechanized claims processing and information retrieval 

systems; and

    (iii) Allows waivers of conditions of approval, conditions of 

reapproval, and FFP reductions under certain circumstances.

    (b) The requirements under section 1903(r) of the Act do not apply 

to Puerto Rico, Guam, the Virgin Islands, American Samoa and the 

Northern Mariana Islands.



[50 FR 30846, July 30, 1985, as amended at 54 FR 41973, Oct. 13, 1989]