[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: 42CFR447.256]



[Page 320-321]

 

                         TITLE 42--PUBLIC HEALTH

 

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

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 447_PAYMENTS FOR SERVICES--Table of Contents

 

  Subpart C_Payment for Inpatient Hospital and Long-Term Care Facility 

                                Services

 

Sec.  447.256  Procedures for CMS action on assurances and State plan 



amendments.



    (a) Criteria for approval. (1) CMS approval action on State plans 

and State plan amendments, is taken in accordance with subpart B of part 

430 of this chapter and sections 1116, 1902(b) and 1915(f) of the Act.

    (2) In the case of State plan and plan amendment changes in payment 

methods and standards, CMS bases its approval on the acceptability of 

the Medicaid agency's assurances that the requirements of Sec.  447.253 

have been met, and the State's compliance with the other requirements of 

this subpart.



[[Page 321]]



    (b) Time limit. CMS will send a notice to the agency of its 

determination as to whether the assurances regarding a State plan 

amendment are acceptable within 90 days of the date CMS receives the 

assurances described in Sec.  447.253, and the related information 

described in Sec.  447.255 of this subpart. If CMS does not send a 

notice to the agency of its determination within this time limit and the 

provisions in paragraph (a) of this section are met, the assurances and/

or the State plan amendment will be deemed accepted and approved.

    (c) Effective date. A State plan amendment that is approved will 

become effective not earlier than the first day of the calendar quarter 

in which an approvable amendment is submitted in accordance with Sec.  

430.20 of this chapter and 447.253.



[48 FR 56058, Dec. 19, 1983, as amended at 52 FR 28147, July 28, 1987]



                     Federal Financial Participation