[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: 42CFR433.130]



[Page 95]

 

                         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.  433.130  Waiver of conditions of initial operation and approval.



    (a) CMS will waive requirements for initial operation and approval 

of systems under Sec.  433.113 for a State meeting the requirements of 

paragraph (b) of this section and that had a 1976 population of less 

than one million and made total Federal and State Medicaid expenditures 

of less than $100 million in fiscal year 1976. Population figures are 

those reported by the Bureau of the Census. Expenditures for fiscal year 

1976 are those reported by the State for that year.

    (b) To be eligible for this waiver, the agency must submit its 

reasons to CMS in writing and demonstrate to CMS's satisfaction that a 

system will not significantly improve the efficiency of the 

administration of the State plan.

    (c) If CMS denies the waiver request, the notice of denial will 

include--

    (1) The findings of fact upon which the denial was made; and

    (2) The procedures for appeal of the denial.

    (d) If CMS determines, after granting a waiver, that a system would 

significantly improve the administration of the State Medicaid program, 

CMS may withdraw the waiver and require that a State obtain initial 

approval of a system within two years of the date of waiver withdrawal.



[50 FR 30848, July 30, 1985, as amended at 54 FR 41974, Oct. 13, 1989]