Part 433 — State Fiscal Administration
Subpart A — Federal Matching and General Administration Provisions
- § 433.10— Rates of FFP for program services.
- § 433.11— Enhanced FMAP rate for children.
- § 433.15— Rates of FFP for administration.
- § 433.32— Fiscal policies and accountability.
- § 433.34— Cost allocation.
- § 433.35— Equipment—Federal financial participation.
- § 433.36— Liens and recoveries.
- § 433.37— Reporting provider payments to Internal Revenue Service.
- § 433.38— Interest charge on disallowed claims for FFP.
- § 433.40— Treatment of uncashed or cancelled (voided) Medicaid checks.
Subpart B — General Administrative Requirements State Financial Participation
- § 433.50— Basis, scope, and applicability.
- § 433.51— Public Funds as the State share of financial participation.
- § 433.52— General definitions.
- § 433.53— State plan requirements.
- § 433.54— Bona fide donations.
- § 433.55— Health care-related taxes defined.
- § 433.56— Classes of health care services and providers defined.
- § 433.57— General rules regarding revenues from provider-related donations and health care-related taxes.
- § 433.66— Permissible provider-related donations.
- § 433.67— Limitations on level of FFP for permissible provider-related donations.
- § 433.68— Permissible health care-related taxes.
- § 433.70— Limitation on level of FFP for revenues from health care-related taxes.
- § 433.72— Waiver provisions applicable to health care-related taxes.
- § 433.74— Reporting requirements.
Subpart C — Mechanized Claims Processing and Information Retrieval Systems
- § 433.110— Basis, purpose, and applicability.
- § 433.111— Definitions.
- § 433.112— FFP for design, development, installation or enhancement of mechanized processing and information retrieval systems.
- § 433.114— Procedures for obtaining initial approval; notice of decision.
- § 433.116— FFP for operation of mechanized claims processing and information retrieval systems.
- § 433.117— Initial approval of replacement systems.
- § 433.119— Conditions for reapproval; notice of decision.
- § 433.120— Procedures for reduction of FFP after reapproval review.
- § 433.121— Reconsideration of the decision to reduce FFP after reapproval review.
- § 433.122— Reapproval of a disapproved system.
- § 433.123— Notification of changes in system requirements, performance standards or other conditions for approval or reapproval.
- § 433.127— Termination of FFP for failure to provide access to claims processing and information retrieval systems.
- § 433.131— Waiver for noncompliance with conditions of approval and reapproval.
Subpart D — Third Party Liability
- § 433.135— Basis and purpose.
- § 433.136— Definitions.
- § 433.137— State plan requirements.
- § 433.138— Identifying liable third parties.
- § 433.139— Payment of claims.
- § 433.140— FFP and repayment of Federal share.
- § 433.145— Assignment of rights to benefits—State plan requirements.
- § 433.146— Rights assigned; assignment method.
- § 433.147— Cooperation in establishing the identity of a child's parents and in obtaining medical support and payments and in identifying and providing information to assist in pursuing third parties who may be liable to pay.
- § 433.148— Denial or termination of eligibility.
- § 433.151— Cooperative agreements and incentive payments—State plan requirements.
- § 433.152— Requirements for cooperative agreements for third party collections.
- § 433.153— Incentive payments to States and political subdivisions.
- § 433.154— Distribution of collections.
Subpart E — Methodologies for Determining Federal Share of Medicaid Expenditures for Adult Eligibility Group
Subpart F — Refunding of Federal Share of Medicaid Overpayments to Providers
- § 433.300— Basis.
- § 433.302— Scope of subpart.
- § 433.304— Definitions.
- § 433.310— Applicability of requirements.
- § 433.312— Basic requirements for refunds.
- § 433.316— When discovery of overpayment occurs and its significance.
- § 433.318— Overpayments involving providers who are bankrupt or out of business.
- § 433.320— Procedures for refunds to CMS.
- § 433.322— Maintenance of Records.