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Requirements for Estimating Improper Payments in Medicaid and CHIP

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medical Assistance Programs
  6. State Organization and General Administration
  7. Requirements for Estimating Improper Payments in Medicaid and CHIP

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Section
431.950

Purpose.

Section
431.954

Basis and scope.

Section
431.958

Definitions and use of terms.

Section
431.960

Types of payment errors.

Section
431.970

Information submission and systems access requirements.

Section
431.972

Claims sampling procedures.

Section
431.992

Corrective action plan.

Section
431.998

Difference resolution and appeal process.

Section
431.1002

Recoveries.

Section
431.1010

Disallowance of Federal financial participation for erroneous State payments (for PERM review years ending after July 1, 2020).

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