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C.F.R - Table of Contents

  • Title 1 - General Provisions
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CFR > Title 42 - Public Health > CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES > SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS (parts 430 to 456) > PART 431—STATE ORGANIZATION AND GENERAL ADMINISTRATION > SUBPART Q—Requirements for Estimating Improper Payments in Medicaid and CHIP (§431.950 to §431.1002)

SUBPART Q—Requirements for Estimating Improper Payments in Medicaid and CHIP (§431.950 to §431.1002)

  • 431.950—Purpose.
  • 431.954—Basis and scope.
  • 431.958—Definitions and use of terms.
  • 431.960—Types of payment errors.
  • 431.970—Information submission requirements.
  • 431.972—Claims sampling procedures.
  • 431.974—Basic elements of Medicaid and CHIP eligibility reviews.
  • 431.978—Eligibility sampling plan and procedures.
  • 431.980—Eligibility review procedures.
  • 431.988—Eligibility case review completion deadlines and submittal of reports.
  • 431.992—Corrective action plan.
  • 431.998—Difference resolution and appeal process.
  • 431.1002—Recoveries.




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