[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: 42CFR457.40]



[Page 379]

 

                         TITLE 42--PUBLIC HEALTH

 

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

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 457_ALLOTMENTS AND GRANTS TO STATES--Table of Contents

 

Subpart A_Introduction; State Plans for Child Health Insurance Programs 

                         and Outreach Strategies

 

Sec.  457.40  State program administration.



    (a) Program operation. The State must implement its program in 

accordance with the approved State plan, any approved State plan 

amendments, the requirements of title XXI and title XIX (as 

appropriate), and the requirements in this chapter. CMS monitors the 

operation of the approved State plan and plan amendments to ensure 

compliance with the requirements of title XXI, title XIX (as 

appropriate) and this chapter.

    (b) State authority to submit State plan. A State plan or plan 

amendment must be signed by the State Governor, or signed by an 

individual who has been delegated authority by the Governor to submit 

it.

    (c) State program officials. The State must identify in the State 

plan or State plan amendment, by position or title, the State officials 

who are responsible for program administration and financial oversight.

    (d) State legislative authority. The State plan must include an 

assurance that the State will not claim expenditures for child health 

assistance prior to the time that the State has legislative authority to 

operate the State plan or plan amendment as approved by CMS.