42 C.F.R. § 430.1
Scope of subchapter C
The regulations in subchapter C set forth State plan requirements, standards, procedures, and conditions for obtaining Federal financial participation (FFP). Each part (or subpart of section) in the subchapter describes the specific statutory basis for the regulation. However, where the basis is the Secretary's general authority to issue regulations for any program under the Act (section 1102 of the Act), or his general authority to prescribe State plan requirements needed for proper and efficient administration of the plan (section 1902(a)(4)), those statutory provisions are simply cited without further description.
Notes of Decisions
Cited in 9
cases, 1981–2018 · leading case: ASTRAZENECA LP v. State
ASTRAZENECA LP v. State (2009)
“See Centers for Medicare & Medicaid Services; Statement of Organization, Functions and Delegations of Authority; Reorganization Order, 66 Fed.”
District of Columbia v. Jackson (1982)
“[14] The federal government pays 50-83 percent of the cost of the medical services provided under state plans; the federal government's exact share is calculated according to a formula which compares the administering state's per capita income with the national average.”
Morabito v. Blum (1981)
“42 C.F.R. § 430.1 . The “Medicaid agency” for the State of New York is the New York State Department of Social Services, of which defendant Blum is presently the Commissioner.”
Sandoz, Inc. v. State (2012)
““At the federal level, Medicaid is administered by the Centers for Medicaid and Medicare Services (‘the CMS’), formerly known as the Health Care Financing Administration [ (‘the HCFA’) ].”
Long Term Care Pharmacy Alliance v. Ferguson (2003)
“See 42 C.F.R. §§ 430.1 et seq. and 447.302. Massachusetts has elected to participate in the program.”
State v. Beatty (1983)
“” 42 C.F.R. § 430.1 (1982). Another refers to a “provider” as “an individual or entity which furnishes items or services for which payment is claimed under Medicáid.”
Carbon County Home for Aged v. Commonwealth (1988)
“Indeed, the definitional provision of 42 C.F.R. §430.1 , 5 specifically applicable to the Medicaid program, defines “services” as those “types of medical assistance specified in Section 1905(a)(1) through (18) of the [Social Security] Act”, 6 wherein IGF and SNF services are…”
Allen Dental Laboratories, Inc., App v. Washington State Health Care Authority, Resp (2017)
“15 We examine the provisions in the context of "'the contract as a whole, interpreting particular language in the context of other contract provisions.”
Department of Medical Assistance Services of the Commonwealth of Virginia v. United States Department of Health and Huma (2018)
“42 C.F.R. § 430.1 (); see also 42 U.S.C. § 1396a The State Plan must “contain[] all information necessary for CMS to determine whether the plan can be approved to serve as a basis for Federal financial participation (FFP) in the State program.”
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