Code of Federal Regulations (alpha)

CFR /  Title 42  /  Part 433  /  Sec. 433.111 Definitions.

For purposes of this section:

(a) The following terms are defined at 45 CFR part 95, subpart F Sec. 95.605: ``Advance Planning Document''; ``Design'' or ``System Design''; ``Development''; ``Enhancement''; ``Hardware''; ``Installation''; ``Operation''; and, ``Software''.

(b) ``Mechanized claims processing and information retrieval system'' or ``system'' means the system of software and hardware used to process Medicaid claims from providers of medical care and services for the medical care and services furnished to beneficiaries under the medical assistance program and to retrieve and produce service utilization and management information required by the Medicaid single State agency and Federal Government for program administration and audit purposes. The system consists of

(1) Required subsystems specified in the State Medicaid Manual;

(2) Required changes to the required system or subsystem that are published in accordance with Sec. 433.123 of this subpart and specified in the State Medicaid Manual; and

(3) Approved enhancements to the system.

(c) ``Medicaid Information Technology Architecture (MITA)'' is defined at Sec. 495.302 of this chapter. [51 FR 45330, Dec. 18, 1986, as amended at 54 FR 41973, Oct. 13, 1989; 76 FR 21973, Apr. 19, 2011]