42 CFR 431.10 - Single State agency

Cite as42 CFR 431.10
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152 practice notes
139 cases
  • Guggenberger v. Minnesota, Civil No. 15-3439 (DWF/BRT)
    • United States
    • United States District Courts. 8th Circuit. United States District Court of Minnesota
    • July 28, 2016
    ...has ultimate responsibility for the State's provision of Waiver Services under both federal Medicaid law and Minnesota statutes. See 42 C.F.R. §§ 431.10(b), 431.10(e), 435.903; see also Minn. Stat. §§ 256.01,Page 101 subd. 2(a); 256B.04, subd.1; 256B.05, subd. 1. If a county fails to proper......
  • Cal. Hosp. Ass'n v. Maxwell–jolly, Civ No. 10–3465 FCD/EFB.
    • United States
    • United States District Courts. 9th Circuit. United States District Courts. 9th Circuit. Eastern District of California
    • March 4, 2011
    ...services to Medi–Cal beneficiaries in compliance with the State Plan and with federal and state laws and regulations. 42 C.F.R. §§ 431.1, 431.10. In its capacity as administrator of the state Medi–Cal plan, DHCS determined that the freeze complied with federal Medicaid law and began impleme......
  • San Lazaro Ass'n, Inc. v. Connell, No. 00-55065
    • United States
    • United States Courts of Appeals. United States Court of Appeals (9th Circuit)
    • January 24, 2002
    ...for that of the Medicaid agency with respect to the application of policies, rules, and regulations issued by the Medicaid agency. 42 C.F.R. § 431.10(e). 2. Payment and verification of provider Under the Medicaid Act, "the state plan is required to establish ... a scheme for reimbursing hea......
  • Cal. Ass'n of Rural Health Clinics v. Douglas, Nos. 10–17574
    • United States
    • United States Courts of Appeals. United States Court of Appeals (9th Circuit)
    • July 5, 2013
    ...the Centers for Medicare and Medicaid Services (“CMS”) for review and approval. 42 U.S.C. § 1396a(a)(5); 42 C.F.R. §§ 430.10, 430.12, 430.14, 431.10. The Department also ensures that Medi–Cal provides covered services to eligible beneficiaries and reimburses providers for their services. 42......
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3 firm's commentaries
  • ColoradoCare Stands to Significantly Alter Health Care Services
    • United States
    • JD Supra United States
    • July 15, 2016
    ...plans sponsored by employers or employee organizations and known as “employee welfare benefit plans.” The scope of ERISA includes: 16 42 C.F.R. § 431.10(b). 17 Amendment 69, § 3(1). June 9, 2016 Page 8 52693552.6 [A]ny plan, fund, or program which was heretofore or is hereafter established ......
  • Medicare/caid Contracts: When the Contract Can Benefit the Provider
    • United States
    • LexBlog United States
    • August 9, 2021
    ...in Idaho. Optum is managing Medicaid dollars, which makes it the Agent of the “single State agency,” the Department of Health of Idaho. 42 C.F.R. 431.10. See blog. The Optum provider contract states that – “It is agreed that the parties knowingly and voluntarily waive any right to a Dispute......
  • Audit the Medicare Payors…It’s Not Always the Providers That Commit Fraud
    • United States
    • LexBlog United States
    • June 6, 2022
    ...to auditing MCOs and MAs. Let’s get these RAC, ZPIC, and TPE auditors focused on the stewards of our tax dollars, the prepaid entities. 42 CFR §431.10 dictates a single state agency for Medicaid, which is the Department in each State. CMS is the single agency in Medicare. CMS and State Depa......
3 provisions
  • HB 365 – State Agency Realignment
    • United States
    • Utah Session Laws
    • January 1, 2021
    ...Corporation; (b) the Housing and Community Development Division; and (c) local housing authorities[.]; (12) in accordance with 42 C.F.R. Sec. 431.10, develop non-clinical eligibility policy and procedures to implement the eligibility state plan, waivers, and administrative rules developed a......
  • Act 562, SB 788 – TO AMEND THE MEDICAID FAIRNESS ACT TO STRENGTHEN DUE PROCESS FOR PROVIDERS WHO DELIVER SERVICES; AND TO DECLARE AN EMERGENCY
    • United States
    • Arkansas Session Laws
    • January 1, 2013
    ...Services shall request a waiver from the Centers for Medicare and Medicaid Services of the single state agency requirement contained in 42 C.F.R. 431.10 to allow final decisions in Medicaid provider administrative appeals to be issued by an administrative law judge in a separate (B) An admi......
  • Chapter 422, HB 365 – State Agency Realignment
    • United States
    • Utah Session Laws
    • January 1, 2021
    ...Corporation; (b) the Housing and Community Development Division; and (c) local housing authorities[.]; (12) in accordance with 42 C.F.R. Sec. 431.10, develop non-clinical eligibility policy and procedures to implement the eligibility state plan, waivers, and administrative rules developed a......

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