42 CFR 457 - ALLOTMENTS AND GRANTS TO STATES | LII / Legal Information Institute

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SUBPART A — Introduction; State Plans for Child Health Insurance Programs and Outreach Strategies (§§ 457.1 - 457.170)
SUBPART B — General Administration—Reviews and Audits; Withholding for Failure to Comply; Deferral and Disallowance of Claims; Reduction of Federal Medical Payments (§§ 457.200 - 457.238)
SUBPART C — State Plan Requirements: Eligibility, Screening, Applications, and Enrollment (§§ 457.300 - 457.380)
SUBPART D — State Plan Requirements: Coverage and Benefits (§§ 457.401 - 457.495)
SUBPART E — State Plan Requirements: Enrollee Financial Responsibilities (§§ 457.500 - 457.570)
SUBPART F — Payments to States (§§ 457.600 - 457.630)
SUBPART G — Strategic Planning, Reporting, and Evaluation (§§ 457.700 - 457.750)
SUBPART H — Substitution of Coverage (§§ 457.800 - 457.810)
SUBPART I — Program Integrity (§§ 457.900 - 457.990)
SUBPART J — Allowable Waivers: General Provisions (§§ 457.1000 - 457.1015)
SUBPART K — State Plan Requirements: Applicant and Enrollee Protections (§§ 457.1100 - 457.1190)

Authority: Section 1102 of the Social Security Act (42 U.S.C. 1302 ).

Source: 65 FR 33622, May 24, 2000, unless otherwise noted.

Title 42 published on 2011-10-01

The following are only the Rules published in the Federal Register after the published date of Title 42.

For a complete list of all Rules, Proposed Rules, and Notices view the Rulemaking tab.

2012-05-29; vol. 77 # 103 - Tuesday, May 29, 2012

77 FR 31499 - Medicaid and Children's Health Insurance Programs; Disallowance of Claims for FFP and Technical Corrections

GPO FDSys XML | Text

Additional Documents

type	regulations.gov
FR Doc.	2012-12637
RIN	0938-AQ32
	CMS-2292-F

DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services

Final rule.

Effective Date: These regulations are effective on June 28, 2012.

42 CFR Parts 430, 433, 447, and 457

Summary

This final rule reflects the Centers for Medicare & Medicaid Services' commitment to the general principles of the President's Executive Order 13563 released January 18, 2011, entitled “Improving Regulation and Regulatory Review.” This rule will: implement a new reconsideration process for administrative determinations to disallow claims for Federal financial participation (FFP) under title XIX of the Act (Medicaid); lengthen the time States have to credit the Federal government for identified but uncollected Medicaid provider overpayments and provide that interest will be due on amounts not credited within that time period; make conforming changes to the Medicaid and Children's Health Insurance Program (CHIP) disallowance process to allow States the option to retain disputed Federal funds through the new administrative reconsideration process; revise installment repayment standards and schedules for States that owe significant amounts; and provide that interest charges may accrue during the new administrative reconsideration process if a State chooses to retain the funds during that period. This final rule will also make a technical correction to reporting requirements for disproportionate share hospital payments, revise internal delegations of authority to reflect the term “Administrator or current Designee,” remove obsolete language, and correct other technical errors.

2012-03-23; vol. 77 # 57 - Friday, March 23, 2012

77 FR 17144 - Medicaid Program; Eligiblity Changes Under the Affordable Care Act of 2010

GPO FDSys XML | Text

Additional Documents

type	regulations.gov
FR Doc.	2012-6560
RIN	0938-AQ62
	CMS-2349-F

DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services

Final rule; Interim final rule.

Effective Date: These regulations are effective on January 1, 2014. Comment Date: Certain provisions of this final rule are being issued as interim final. We will consider comments from the public on the following provisions: § 431.300(c)(1) and (d), § 431.305(b)(6), § 435.912, § 435.1200, § 457.340(d), § 457.348 and § 457.350(a), (b), (c), (f), (i), (j), and (k). To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. Eastern Standard Time (EST) on May 7, 2012.

42 CFR Parts 431, 435, and 457

Summary

This final rule implements several provisions of the Patient Protection and Affordable Care Act of 2010 and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act). The Affordable Care Act expands access to health insurance coverage through improvements to the Medicaid and Children's Health Insurance (CHIP) programs, the establishment of Affordable Insurance Exchanges (“Exchanges”), and the assurance of coordination between Medicaid, CHIP, and Exchanges. This final rule codifies policy and procedural changes to the Medicaid and CHIP programs related to eligibility, enrollment, renewals, public availability of program information and coordination across insurance affordability programs.

This is a list of United States Code sections, Statutes at Large, Public Laws, and Presidential Documents, which provide rulemaking authority for this CFR Part.

This list is taken from the Parallel Table of Authorities and Rules provided by GPO [Government Printing Office].

It is not guaranteed to be accurate or up-to-date, though we do refresh the database weekly. More limitations on accuracy are described at the GPO site.

United States Code

USC : Title 33 - NAVIGATION AND NAVIGABLE WATERS

§ 1316 - National standards of performance

§ 1317 - Toxic and pretreatment effluent standards

Statutes at Large

86 Stat. 816

Title 42 published on 2011-10-01

The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 42 CFR 457 after this date.

2012-05-29; vol. 77 # 103 - Tuesday, May 29, 2012

77 FR 31499 - Medicaid and Children's Health Insurance Programs; Disallowance of Claims for FFP and Technical Corrections

GPO FDSys XML | Text

Additional Documents

type	regulations.gov
FR Doc.	2012-12637
RIN	0938-AQ32
	CMS-2292-F

DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services

Final rule.

Effective Date: These regulations are effective on June 28, 2012.

42 CFR Parts 430, 433, 447, and 457

Summary

This final rule reflects the Centers for Medicare & Medicaid Services' commitment to the general principles of the President's Executive Order 13563 released January 18, 2011, entitled “Improving Regulation and Regulatory Review.” This rule will: implement a new reconsideration process for administrative determinations to disallow claims for Federal financial participation (FFP) under title XIX of the Act (Medicaid); lengthen the time States have to credit the Federal government for identified but uncollected Medicaid provider overpayments and provide that interest will be due on amounts not credited within that time period; make conforming changes to the Medicaid and Children's Health Insurance Program (CHIP) disallowance process to allow States the option to retain disputed Federal funds through the new administrative reconsideration process; revise installment repayment standards and schedules for States that owe significant amounts; and provide that interest charges may accrue during the new administrative reconsideration process if a State chooses to retain the funds during that period. This final rule will also make a technical correction to reporting requirements for disproportionate share hospital payments, revise internal delegations of authority to reflect the term “Administrator or current Designee,” remove obsolete language, and correct other technical errors.

2012-03-23; vol. 77 # 57 - Friday, March 23, 2012

77 FR 17144 - Medicaid Program; Eligiblity Changes Under the Affordable Care Act of 2010

GPO FDSys XML | Text

Additional Documents

type	regulations.gov
FR Doc.	2012-6560
RIN	0938-AQ62
	CMS-2349-F

DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services

Final rule; Interim final rule.

Effective Date: These regulations are effective on January 1, 2014. Comment Date: Certain provisions of this final rule are being issued as interim final. We will consider comments from the public on the following provisions: § 431.300(c)(1) and (d), § 431.305(b)(6), § 435.912, § 435.1200, § 457.340(d), § 457.348 and § 457.350(a), (b), (c), (f), (i), (j), and (k). To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. Eastern Standard Time (EST) on May 7, 2012.

42 CFR Parts 431, 435, and 457

Summary

This final rule implements several provisions of the Patient Protection and Affordable Care Act of 2010 and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act). The Affordable Care Act expands access to health insurance coverage through improvements to the Medicaid and Children's Health Insurance (CHIP) programs, the establishment of Affordable Insurance Exchanges (“Exchanges”), and the assurance of coordination between Medicaid, CHIP, and Exchanges. This final rule codifies policy and procedural changes to the Medicaid and CHIP programs related to eligibility, enrollment, renewals, public availability of program information and coordination across insurance affordability programs.

42 CFR 457 - ALLOTMENTS AND GRANTS TO STATES

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