Part 441 — Services: Requirements and Limits Applicable to Specific Services

• § 441.1— Purpose.

Subpart A — General Provisions

• § 441.10— Basis.
• § 441.11— Continuation of FFP for institutional services.
• § 441.12— Inpatient hospital tests.
• § 441.13— Prohibitions on FFP: Institutionalized individuals.
• § 441.15— Home health services.
• § 441.16— Home health agency requirements for surety bonds; Prohibition on FFP.
• § 441.17— Laboratory services.
• § 441.18— Case management services.
• § 441.20— Family planning services.
• § 441.21— Nurse-midwife services.
• § 441.22— Nurse practitioner services.
• § 441.25— Prohibition on FFP for certain prescribed drugs.
• § 441.30— Optometric services.
• § 441.35— Organ transplants.
• § 441.40— End-stage renal disease.

Subpart B — Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) of Individuals Under Age 21

• § 441.50— Basis and purpose.
• § 441.55— State plan requirements.
• § 441.56— Required activities.
• § 441.57— Discretionary services.
• § 441.58— Periodicity schedule.
• § 441.59— Treatment of requests for EPSDT screening services.
• § 441.60— Continuing care.
• § 441.61— Utilization of providers and coordination with related programs.
• § 441.62— Transportation and scheduling assistance.

Subpart C — Medicaid for Individuals Age 65 or Over in Institutions for Mental Diseases

• § 441.100— Basis and purpose.
• § 441.101— State plan requirements.
• § 441.102— Plan of care for institutionalized beneficiaries.
• § 441.103— Alternate plans of care.
• § 441.105— Methods of administration.
• § 441.106— Comprehensive mental health program.

Subpart D — Inpatient Psychiatric Services for Individuals Under Age 21 in Psychiatric Facilities or Programs

• § 441.150— Basis and purpose.
• § 441.151— General requirements.
• § 441.152— Certification of need for services.
• § 441.153— Team certifying need for services.
• § 441.154— Active treatment.
• § 441.155— Individual plan of care.
• § 441.156— Team developing individual plan of care.
• § 441.180— Maintenance of effort: General rule.
• § 441.181— Maintenance of effort: Explanation of terms and requirements.
• § 441.182— Maintenance of effort: Computation.
• § 441.184— Emergency preparedness.

Subpart E — Abortions

• § 441.200— Basis and purpose.
• § 441.201— Definition.
• § 441.202— General rule.
• § 441.203— Life of the mother would be endangered.
• § 441.206— Documentation needed by the Medicaid agency.
• § 441.207— Drugs and devices and termination of ectopic pregnancies.
• § 441.208— Recordkeeping requirements.

Subpart F — Sterilizations

• § 441.250— Applicability.
• § 441.251— Definitions.
• § 441.252— State plan requirements.
• § 441.253— Sterilization of a mentally competent individual aged 21 or older.
• § 441.254— Mentally incompetent or institutionalized individuals.
• § 441.255— Sterilization by hysterectomy.
• § 441.256— Additional condition for Federal financial participation (FFP).
• § 441.257— Informed consent.
• § 441.258— Consent form requirements.
• § 441.259— Review of regulations.

Subpart G — Home and Community-Based Services: Waiver Requirements

• § 441.300— Basis and purpose.
• § 441.301— Contents of request for a waiver.
• § 441.302— State assurances.
• § 441.303— Supporting documentation required.
• § 441.304— Duration, extension, and amendment of a waiver.
• § 441.305— Replacement of beneficiaries in approved waiver programs.
• § 441.306— Cooperative arrangements with the Maternal and Child Health program.
• § 441.307— Notification of a waiver termination.
• § 441.308— Hearings procedures for waiver terminations.
• § 441.310— Limits on Federal financial participation (FFP).
• § 441.311— Reporting requirements.
• § 441.312— Home and community-based services quality measure set.
• § 441.313— Website transparency.

Subpart H — Home and Community-Based Services Waivers for Individuals Age 65 or Older: Waiver Requirements

• § 441.350— Basis and purpose.
• § 441.351— Contents of a request for a waiver.
• § 441.352— State assurances.
• § 441.353— Supporting documentation required.
• § 441.354— Aggregate projected expenditure limit (APEL).
• § 441.355— Duration, extension, and amendment of a waiver.
• § 441.356— Waiver termination.
• § 441.357— Hearing procedures for waiver denials.
• § 441.360— Limits on Federal financial participation (FFP).
• § 441.365— Periodic evaluation, assessment, and review.

Subpart I — Community Supported Living Arrangements Services

• § 441.400— Basis and purpose.
• § 441.402— State plan requirements.
• § 441.404— Minimum protection requirements.

Subpart J — Optional Self-Directed Personal Assistance Services Program

• § 441.450— Basis, scope, and definitions.
• § 441.452— Self-direction: General.
• § 441.454— Use of cash.
• § 441.456— Voluntary disenrollment.
• § 441.458— Involuntary disenrollment.
• § 441.460— Participant living arrangements.
• § 441.462— Statewideness, comparability and limitations on number served.
• § 441.464— State assurances.
• § 441.466— Assessment of need.
• § 441.468— Service plan elements.
• § 441.470— Service budget elements.
• § 441.472— Budget methodology.
• § 441.474— Quality assurance and improvement plan.
• § 441.476— Risk management.
• § 441.478— Qualifications of providers of personal assistance.
• § 441.480— Use of a representative.
• § 441.482— Permissible purchases.
• § 441.484— Financial management services.
• § 441.486— Website transparency.

Subpart K — Home and Community-Based Attendant Services and Supports State Plan Option (Community First Choice)

• § 441.500— Basis and scope.
• § 441.505— Definitions.
• § 441.510— Eligibility.
• § 441.515— Statewideness.
• § 441.520— Included services.
• § 441.525— Excluded services.
• § 441.530— Home and Community-Based Setting.
• § 441.535— Assessment of functional need.
• § 441.540— Person-centered service plan.
• § 441.545— Service models.
• § 441.550— Service plan requirements for self-directed model with service budget.
• § 441.555— Support system.
• § 441.560— Service budget requirements.
• § 441.565— Provider qualifications.
• § 441.570— State assurances.
• § 441.575— Development and Implementation Council.
• § 441.580— Data collection.
• § 441.585— Quality assurance system.
• § 441.590— Increased Federal financial participation.
• § 441.595— Website transparency.

Subpart L — Vaccines for Children Program

• § 441.600— Basis and purpose.
• § 441.605— General requirements.
• § 441.610— State plan requirements.
• § 441.615— Administration fee requirements.

Subpart M — State Plan Home and Community-Based Services for the Elderly and Individuals with Disabilities

• § 441.700— Basis and purpose.
• § 441.705— State plan requirements.
• § 441.710— State plan home and community-based services under section 1915(i)(1) of the Act.
• § 441.715— Needs-based criteria and evaluation.
• § 441.720— Independent assessment.
• § 441.725— Person-centered service plan.
• § 441.730— Provider qualifications.
• § 441.735— Definition of individual's representative.
• § 441.740— Self-directed services.
• § 441.745— State plan HCBS administration: State responsibilities and quality improvement.
• § 441.750— Website transparency.