42 CFR 457.70 - Program options.
(a) Health benefits coverage options. A State may elect to obtain health benefits coverage under its plan through—
(b) State plan requirement. A State must include in the State plan or plan amendment a description of the State's chosen program option.
(c) Medicaid expansion program requirements. A State plan under title XXI for a State that elects to obtain health benefits coverage through its Medicaid plan must—
(iii) Subpart F (with respect to determination of the allotment for purposes of the enhanced matching rate, determination of the enhanced matching rate, and payment of any claims for administrative costs under title XXI only);
(v) Subpart J (if the State claims administrative costs under title XXI and seeks a waiver of limitations on such claims based on a community based health delivery system).
(2) Be consistent with the State's Medicaid State plan, or an approvable amendment to that plan, as required under title XIX.
(d) Separate child health program requirements. A State that elects to obtain health benefits coverage under its plan through a separate child health program must meet all the requirements of part 457.
Title 42 published on 2013-10-01
no entries appear in the Federal Register after this date.