Section 457.1
|
Basis and scope of subchapter D |
Section 457.2
|
Definitions and use of terms |
Section 457.10
|
Basis, scope, and applicability of subpart A |
Section 457.30
|
State program administration |
Section 457.40
|
State plan |
Section 457.50
|
Amendments |
Section 457.60
|
Effective date and duration of State plans and plan amendments |
Section 457.65
|
Program options |
Section 457.70
|
Current State child health insurance coverage and coordination |
Section 457.80
|
Outreach |
Section 457.90
|
Enrollment assistance and information requirements |
Section 457.110
|
Public involvement in program development |
Section 457.120
|
Provision of child health assistance to American Indian and Alaska Native children |
Section 457.125
|
Civil rights assurance |
Section 457.130
|
Assurance of compliance with other provisions |
Section 457.135
|
Budget |
Section 457.140
|
CMS review of State plan material |
Section 457.150
|
Notice and timing of CMS action on State plan material |
Section 457.160
|
Withdrawal process |
Section 457.170
|
Program reviews |
Section 457.200
|
Audits |
Section 457.202
|
Administrative and judicial review of action on State plan material |
Section 457.203
|
Withholding of payment for failure to comply with Federal requirements |
Section 457.204
|
Administrative appeals under CHIP |
Section 457.206
|
Judicial review |
Section 457.208
|
Treatment of uncashed or canceled (voided) CHIP checks |
Section 457.216
|
Funds from units of government as the State share of financial participation |
Section 457.220
|
FFP for equipment |
Section 457.222
|
FFP: Conditions relating to cost sharing |
Section 457.224
|
Fiscal policies and accountability |
Section 457.226
|
Cost allocation |
Section 457.228
|
FFP for State ADP expenditures |
Section 457.230
|
Refunding of Federal Share of CHIP overpayments to providers and referral of allegations of waste, fraud or |
Section 457.232
|
Audits |
Section 457.236
|
Documentation of payment rates |
Section 457.238
|
Basis, scope, and applicability |
Section 457.300
|
Definitions and use of terms |
Section 457.301
|
State plan provisions |
Section 457.305
|
Targeted low-income child |
Section 457.310
|
Application of modified adjusted gross income and household definition |
Section 457.315
|
Other eligibility standards |
Section 457.320
|
Application |
Section 457.330
|
Application for and enrollment in CHIP |
Section 457.340
|
Periodic renewal of CHIP eligibility |
Section 457.343
|
Determinations of Children's Health Insurance Program eligibility by other insurance affordability programs |
Section 457.348
|
Eligibility screening and enrollment in other insurance affordability programs |
Section 457.350
|
Monitoring and evaluation of screening process |
Section 457.353
|
Presumptive eligibility |
Section 457.355
|
Alignment with Exchange initial open enrollment period |
Section 457.370
|
Eligibility verification |
Section 457.380
|
Basis, scope, and applicability |
Section 457.401
|
Definition of child health assistance |
Section 457.402
|
Health benefits coverage options |
Section 457.410
|
Benchmark health benefits coverage |
Section 457.420
|
Benchmark-equivalent health benefits coverage |
Section 457.430
|
Actuarial report for benchmark-equivalent coverage |
Section 457.431
|
Existing comprehensive State-based coverage |
Section 457.440
|
Secretary-approved coverage |
Section 457.450
|
Prohibited coverage |
Section 457.470
|
Limitations on coverage: Abortions |
Section 457.475
|
Preexisting condition exclusions and relation to other laws |
Section 457.480
|
Delivery and utilization control systems |
Section 457.490
|
State assurance of access to care and procedures to assure quality and appropriateness of care |
Section 457.495
|
Basis, scope, and applicability |
Section 457.500
|
General State plan requirements |
Section 457.505
|
Premiums, enrollment fees, or similar fees: State plan requirements |
Section 457.510
|
Co-payments, coinsurance, deductibles, or similar cost-sharing charges: State plan requirements |
Section 457.515
|
Cost sharing for well-baby and well-child care services |
Section 457.520
|
Public schedule |
Section 457.525
|
General cost-sharing protection for lower income children |
Section 457.530
|
Cost-sharing protection to ensure enrollment of American Indians and Alaska Natives |
Section 457.535
|
Cost-sharing charges for children in families with incomes at or below 150 percent of the FPL |
Section 457.540
|
Maximum allowable cost-sharing charges on targeted low-income children in families with income from 101 to 150 percent |
Section 457.555
|
Cumulative cost-sharing maximum |
Section 457.560
|
Disenrollment protections |
Section 457.570
|
Purpose and basis of this subpart |
Section 457.600
|
Applicability |
Section 457.602
|
Conditions for State allotments and Federal payments for a fiscal year |
Section 457.606
|
Process and calculation of State allotments prior to FY 2009 |
Section 457.608
|
Process and calculation of State allotments for a fiscal year after FY 2008 |
Section 457.609
|
Period of availability for State allotments prior to FY 2009 |
Section 457.610
|
Period of availability for State allotments for a fiscal year after FY 2008 |
Section 457.611
|
General payment process |
Section 457.614
|
Application and tracking of payments against the fiscal year allotments |
Section 457.616
|
Ten percent limit on certain Children's Health Insurance Program expenditures |
Section 457.618
|
Rate of FFP for State expenditures |
Section 457.622
|
Prevention of duplicate payments |
Section 457.626
|
Other applicable Federal regulations |
Section 457.628
|
Grants procedures |
Section 457.630
|
Basis, scope, and applicability |
Section 457.700
|
State plan requirements: Strategic objectives and performance goals |
Section 457.710
|
State plan requirement: State assurance regarding data collection, records, and reports |
Section 457.720
|
State expenditures and statistical reports |
Section 457.740
|
Annual report |
Section 457.750
|
Basis, scope, and applicability |
Section 457.800
|
State plan requirement: Procedures to address substitution under group health plans |
Section 457.805
|
Premium assistance programs: Required protections against substitution |
Section 457.810
|
Basis, scope and applicability |
Section 457.900
|
Definitions |
Section 457.902
|
State program administration |
Section 457.910
|
Fraud detection and investigation |
Section 457.915
|
Preliminary investigation |
Section 457.925
|
Full investigation, resolution, and reporting requirements |
Section 457.930
|
Sanctions and related penalties |
Section 457.935
|
Procurement standards |
Section 457.940
|
Certification for contracts and proposals |
Section 457.945
|
Contract and payment requirements including certification of payment-related information |
Section 457.950
|
Conditions necessary to contract as a managed care entity (MCE) |
Section 457.955
|
Reporting changes in eligibility and redetermining eligibility |
Section 457.960
|
Documentation |
Section 457.965
|
Verification of enrollment and provider services received |
Section 457.980
|
Integrity of professional advice to enrollees |
Section 457.985
|
Provider and supplier screening, oversight, and reporting requirements |
Section 457.990
|
Basis, scope, and applicability |
Section 457.1000
|
CMS review of waiver requests |
Section 457.1003
|
Cost-effective coverage through a community-based health delivery system |
Section 457.1005
|
Purchase of family coverage |
Section 457.1010
|
Cost-effectiveness |
Section 457.1015
|
Basis, scope and applicability |
Section 457.1100
|
Privacy protections |
Section 457.1110
|
State plan requirement: Description of review process |
Section 457.1120
|
Program specific review process: Matters subject to review |
Section 457.1130
|
Program specific review process: Core elements of review |
Section 457.1140
|
Program specific review process: Impartial review |
Section 457.1150
|
Program specific review process: Time frames |
Section 457.1160
|
Program specific review process: Continuation of enrollment |
Section 457.1170
|
Program specific review process: Notice |
Section 457.1180
|
Application of review procedures when States offer premium assistance for group health plans |
Section 457.1190
|
Basis |