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Section 431.1
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Single State agency |
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Section 431.10
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Organization for administration |
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Section 431.11
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Medical care advisory committee |
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Section 431.12
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Methods of administration |
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Section 431.15
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Reports |
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Section 431.16
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Maintenance of records |
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Section 431.17
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Availability of agency program manuals |
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Section 431.18
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Advance directives |
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Section 431.20
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Basis and scope |
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Section 431.40
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Statewide operation |
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Section 431.50
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Free choice of providers |
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Section 431.51
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Payments for services furnished out of State |
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Section 431.52
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Assurance of transportation |
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Section 431.53
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Exceptions to certain State plan requirements |
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Section 431.54
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Waiver of other Medicaid requirements |
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Section 431.55
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Special waiver provisions applicable to American Samoa and the Northern Mariana Islands |
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Section 431.56
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Consultation to medical facilities |
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Section 431.105
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Required provider agreement |
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Section 431.107
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Effective date of provider agreements |
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Section 431.108
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Participation by Indian Health Service facilities |
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Section 431.110
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Disclosure of survey information and provider or contractor evaluation |
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Section 431.115
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State requirements with respect to nursing facilities |
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Section 431.120
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Scope and applicability |
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Section 431.151
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State plan requirements |
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Section 431.152
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Evidentiary hearing |
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Section 431.153
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Informal reconsideration for ICFs/IID |
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Section 431.154
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Basis and scope |
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Section 431.200
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Definitions |
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Section 431.201
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State plan requirements |
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Section 431.202
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Provision of hearing system |
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Section 431.205
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Informing applicants and beneficiaries |
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Section 431.206
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Content of notice |
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Section 431.210
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Advance notice |
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Section 431.211
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Exceptions from advance notice |
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Section 431.213
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Notice in cases of probable fraud |
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Section 431.214
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When a hearing is required |
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Section 431.220
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Request for hearing |
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Section 431.221
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Group hearings |
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Section 431.222
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Denial or dismissal of request for a hearing |
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Section 431.223
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Maintaining services |
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Section 431.230
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Reinstating services |
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Section 431.231
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Adverse decision of local evidentiary hearing |
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Section 431.232
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State agency hearing after adverse decision of local evidentiary hearing |
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Section 431.233
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Conducting the hearing |
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Section 431.240
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Matters to be considered at the hearing |
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Section 431.241
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Procedural rights of the applicant or beneficiary |
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Section 431.242
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Parties in cases involving an eligibility determination |
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Section 431.243
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Hearing decisions |
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Section 431.244
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Notifying the applicant or beneficiary of a State agency decision |
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Section 431.245
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Corrective action |
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Section 431.246
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Federal financial participation |
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Section 431.250
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Basis and purpose |
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Section 431.300
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State plan requirements |
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Section 431.301
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Purposes directly related to State plan administration |
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Section 431.302
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State authority for safeguarding information |
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Section 431.303
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Publicizing safeguarding requirements |
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Section 431.304
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Types of information to be safeguarded |
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Section 431.305
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Release of information |
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Section 431.306
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Distribution of information materials |
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Section 431.307
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Basis and purpose |
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Section 431.400
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Definitions |
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Section 431.404
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State public notice process |
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Section 431.408
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Application procedures |
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Section 431.412
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Federal public notice and approval process |
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Section 431.416
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Monitoring and compliance |
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Section 431.420
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Evaluation requirements |
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Section 431.424
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Reporting requirements |
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Section 431.428
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Relations with standard-setting and survey agencies |
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Section 431.610
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Relations with State health and vocational rehabilitation agencies and title V grantees |
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Section 431.615
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Agreement with State mental health authority or mental institutions |
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Section 431.620
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State requirements with respect to nursing facilities |
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Section 431.621
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Coordination of Medicaid with Medicare part B |
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Section 431.625
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Coordination of Medicaid with QIOs |
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Section 431.630
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Coordination of Medicaid with Special Supplemental Food Program for Women, Infants, and Children (WIC) |
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Section 431.635
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Basis and purpose |
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Section 431.700
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Definitions |
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Section 431.701
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State plan requirement |
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Section 431.702
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Licensing requirement |
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Section 431.703
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Nursing homes designated by other terms |
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Section 431.704
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Licensing authority |
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Section 431.705
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Composition of licensing board |
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Section 431.706
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Standards |
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Section 431.707
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Procedures for applying standards |
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Section 431.708
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Issuance and revocation of license |
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Section 431.709
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Provisional licenses |
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Section 431.710
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Compliance with standards |
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Section 431.711
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Failure to comply with standards |
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Section 431.712
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Continuing study and investigation |
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Section 431.713
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Waivers |
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Section 431.714
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Federal financial participation |
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Section 431.715
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Scope of subpart |
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Section 431.800
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Basis |
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Section 431.802
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Definitions |
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Section 431.804
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State plan requirements |
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Section 431.806
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Protection of beneficiary rights |
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Section 431.808
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Basic elements of the Medicaid eligibility quality control (MEQC) program |
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Section 431.810
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Review procedures |
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Section 431.812
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Sampling plan and procedures |
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Section 431.814
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Case review completion deadlines and submittal of reports |
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Section 431.816
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Access to records: MEQC program |
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Section 431.818
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Corrective action under the MEQC program |
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Section 431.820
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Resolution of differences in State and Federal case eligibility or payment findings |
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Section 431.822
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Basic elements of the Medicaid quality control (MQC) claims processing assessment system |
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Section 431.830
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Reporting requirements for claims processing assessment systems |
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Section 431.832
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Access to records: Claims processing assessment systems |
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Section 431.834
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Corrective action under the MQC claims processing assessment system |
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Section 431.836
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Disallowance of Federal financial participation for erroneous State payments (for annual assessment periods ending after July 1, 1990) |
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Section 431.865
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Purpose |
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Section 431.950
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Basis and scope |
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Section 431.954
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Definitions and use of terms |
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Section 431.958
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Types of payment errors |
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Section 431.960
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Information submission requirements |
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Section 431.970
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Claims sampling procedures |
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Section 431.972
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Basic elements of Medicaid and CHIP eligibility reviews |
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Section 431.974
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Eligibility sampling plan and procedures |
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Section 431.978
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Eligibility review procedures |
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Section 431.980
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Eligibility case review completion deadlines and submittal of reports |
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Section 431.988
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Corrective action plan |
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Section 431.992
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Difference resolution and appeal process |
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Section 431.998
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Recoveries |
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Section 431.1002
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Basis and purpose |