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  1. LII
  2. Electronic Code of Federal Regulations (e-CFR)
  3. Title 42—Public Health
  4. CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  5. SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS
  6. PART 431—STATE ORGANIZATION AND GENERAL ADMINISTRATION
  7. Subpart P—Quality Control

42 CFR Part 431 - Subpart P - Quality Control

  • CFR
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  1. Medicaid Eligibility Quality Control (MEQC) Program (§§ 431.800 - 431.820)
    1. § 431.800 Basis and scope.
    2. § 431.804 Definitions.
    3. § 431.806 State requirements.
    4. § 431.808 Protection of beneficiary rights.
    5. § 431.810 Basic elements of the Medicaid Eligibility Quality Control (MEQC) Program.
    6. § 431.812 Review procedures.
    7. § 431.814 Pilot planning document.
    8. § 431.816 Case review completion deadlines and submittal of reports.
    9. § 431.818 Access to records.
    10. § 431.820 Corrective action under the MEQC program.
    Source: Sections 431.800 through 431.808 appear at 55 FR 22166, May 31, 1990, unless otherwise noted.
  2. Medicaid Quality Control (MQC) Claims Processing Assessment System (§§ 431.830 - 431.836)
    1. § 431.830 Basic elements of the Medicaid quality control (MQC) claims processing assessment system.
    2. § 431.832 Reporting requirements for claims processing assessment systems.
    3. § 431.834 Access to records: Claims processing assessment systems.
    4. § 431.836 Corrective action under the MQC claims processing assessment system.
    Source: Sections 431.830 through 431.836 appear at 55 FR 22170, May 31, 1990, unless otherwise noted.

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