[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: 42CFR433.15]



[Page 75]

 

                         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.  433.15  Rates of FFP for administration.



    (a) Basis. Section 1903(a) (2) through (5) and (7) of the Act 

provide for payments to States, on the basis of specified percentages, 

for part of their expenditures for administration of an approved State 

plan.

    (b) Activities and rates. (1) [Reserved]

    (2) Administration of family planning services: 90 percent. (Section 

1903 (a)(5); 42 CFR 432.50(b)(5).)

    (3) Design, development, or installation of mechanized claims 

processing and information retrieval systems: 90 percent. (Section 

1903(a)(3)(A)(i); 42 CFR part 433, subpart C, and Sec.  432.50 (b)(3).)

    (4) Operation of mechanized claims processing and information 

retrieval systems: 75 percent. (Section 1903(a) (3)(B); 42 CFR part 433, 

subpart C and Sec.  432.50(b)(2).)

    (5) Compensation and training of skilled professional medical 

personnel and staff directly supporting those personnel if the criteria 

specified in Sec.  432.50 (c) and (d) are met: 75 percent. (Section 

1903(a)(2); 42 CFR 432.50(b)(1).)

    (6)(i) Funds expended for the performance of medical and utilization 

review by a QIO under a contract entered into under section 1902(d) of 

the Act: 75 percent (section 1903(a)(3)(C) of the Act).

    (ii) If a State contracts for medical and utilization review with 

any individual or organization not designated under Part B of Title XI 

of the Act, funds expended for such review will be reimbursed as 

provided in paragraph (b)(7) of this section.

    (7) All other activities the Secretary finds necessary for proper 

and efficient administration of the State plan: 50 percent. (Section 

1903(a)(7).) (See also Sec.  455.300 of this subchapter for FFP at 90 

percent for State Medicaid fraud control units under section 

1903(a)(6).)

    (8) Nurse aide training and competency evaluation programs and 

competency evaluation programs described in 1919(e)(1) of the Act: for 

calendar quarters beginning on or after July 1, 1988 and before July 1, 

1990: The lesser of 90% or the Federal medical assistance percentage 

plus 25 percentage points; for calendar quarters beginning on or after 

October 1, 1990: 50%. (Section 1903(a)(2)(B) of the Act.)

    (9) Preadmission screening and annual resident review (PASARR) 

activities conducted by the State: 75 percent. (Sections 1903(a)(2)(C) 

and 1919(e)(7); 42 CFR part 483, subparts C and E.)

    (10) Funds expended for the performance of external quality review 

or the related activities described in Sec.  438.358 of this chapter 

when they are performed by an external quality review organization as 

defined in Sec.  438.320 of this chapter: 75 percent.



[43 FR 45201, Sept. 29, 1978, as amended at 46 FR 48566, Oct. 1, 1981; 

46 FR 54744, Nov. 4, 1981; 50 FR 15327, Apr. 17, 1985; 50 FR 46664, Nov. 

12, 1985; 56 FR 48918, Sept. 26, 1991; 57 FR 56506, Nov. 30, 1992; 68 FR 

3635, Jan. 24, 2003]