42 CFR Subpart D Requirements Specific to the Medicaid Program | Code of Federal Regulations | US Law | LawStack Online

42 CFR Subpart D

Requirements Specific to the Medicaid Program

June 11, 2020

Approval of the State Medicaid HIT plan, the HIT PAPD and update, the HIT IAPD and update, and the annual HIT IAPD

Basis and purpose

Medicaid provider scope and eligibility

Establishing patient volume

Net average allowable costs as the basis for determining the incentive payment

Medicaid provider incentive payments

Process for payments

Activities required to receive an incentive payment

State monitoring and reporting regarding activities required to receive an incentive payment

State responsibilities for receiving FFP

FFP for payments to Medicaid providers

FFP for reasonable administrative expenses

Prior approval conditions

Disallowance of FFP

Request for reconsideration of adverse determination

Termination of FFP for failure to provide access to information

State Medicaid health information technology (HIT) plan requirements

Health information technology planning advance planning document requirements (HIT PAPD)

Health information technology implementation advance planning document requirements (HIT IAPD)

As-needed HIT PAPD update and as-needed HIT IAPD update requirements

Annual HIT IAPD requirements

Access to systems and records

Procurement standards

State Medicaid agency attestations

Reporting requirements

Rules for charging equipment

Nondiscrimination requirements

Cost allocation plans

Software and ownership rights

Retroactive approval of FFP with an effective date of February 18, 2009

Review and assessment of administrative activities and expenses of Medicaid provider health information technology adoption and operation

Financial oversight and monitoring of expenditures

Combating fraud and abuse

Appeals process for a Medicaid provider receiving electronic health record incentive payments

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