[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: 42CFR433.66]



[Page 84-85]

 

                         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 B_General Administrative Requirements State Financial 

                              Participation

 

Sec.  433.66  Permissible provider-related donations after the 



transition period.



    (a) General rule. (1) Except as specified in paragraph (a)(2) of 

this section, subsequent to the end of a State's transition period, as 

defined in Sec.  433.58(b), a State may receive revenues from provider-

related donations without a reduction in FFP, only in accordance with 

the requirements of this section.

    (2) The provisions of this section relating to provider-related 

donations for outstationed eligibility workers are effective on October 

1, 1992, whether or



[[Page 85]]



not the State's transition period continues beyond that date.

    (b) Permissible donations. Subject to the limitations specified in 

Sec.  433.67, a State may receive, without a reduction in FFP, provider-

related donations that meet at least one of the following requirements:

    (1) The donations must be bona fide donations, as defined in Sec.  

433.54; or

    (2) The donations are made by a hospital, clinic, or similar entity 

(such as a Federally-qualified health center) for the direct costs of 

State or local agency personnel who are stationed at the facility to 

determine the eligibility (including eligibility redeterminations) of 

individuals for Medicaid or to provide outreach services to eligible (or 

potentially eligible) Medicaid individuals. Direct costs of outstationed 

eligibility workers refers to the costs of training, salaries and fringe 

benefits associated with each outstationed worker and similar allocated 

costs of State or local agency support staff, and a prorated cost of 

outreach activities applicable to the outstationed workers at these 

sites. The prorated costs of outreach activities will be calculated 

taking the percent of State outstationed eligibility workers at a 

facility to total outstationed eligibility workers in the State, and 

multiplying the percent by the total cost of outreach activities in the 

State. Costs for such items as State agency overhead and provider office 

space are not allowable for this purpose.



[57 FR 55138, Nov. 24, 1992, as amended at 58 FR 43180, Aug. 13, 1993]