General Administration - Reviews and Audits; Withholding for Failure to Comply; Deferral and Disallowance of Claims; Reduction of Federal Medical Payments

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. State Children's Health Insurance Programs (SCHIPs)
  6. Allotments and Grants to States
  7. General Administration - Reviews and Audits; Withholding for Failure to Comply; Deferral and Disallowance of Claims; Reduction of Federal Medical Payments

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Section
457.200

Program reviews.

Section
457.202

Audits.

Section
457.203

Administrative and judicial review of action on State plan material.

Section
457.204

Withholding of payment for failure to comply with Federal requirements.

Section
457.206

Administrative appeals under CHIP.

Section
457.208

Judicial review.

Section
457.216

Treatment of uncashed or canceled (voided) CHIP checks.

Section
457.220

Funds from units of government as the State share of financial participation.

Section
457.222

FFP for equipment.

Section
457.224

FFP: Conditions relating to cost sharing.

Section
457.226

Fiscal policies and accountability.

Section
457.228

Cost allocation.

Section
457.230

FFP for State ADP expenditures.

Section
457.232

Refunding of Federal Share of CHIP overpayments to providers and referral of allegations of waste, fraud or abuse to the Office of Inspector General.

Section
457.236

Audits.

Section
457.238

Documentation of payment rates.