C.F.R. » Title 42 » CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES › SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS › PART 431—STATE ORGANIZATION AND GENERAL ADMINISTRATION

42 C.F.R. § 431.1

Purpose

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This part establishes State plan requirements for the designation, organization, and general administrative activities of a State agency responsible for operating the State Medicaid program, directly or through supervision of local administering agencies.

Notes of Decisions
Cited in 12 cases (3 in the last 5 years), 1983–2023 · leading case: Harris v. James
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Harris v. James (1995) almd · cites it 2× “*1521 See, 42 C.F.R. §§ 431.1 et seq. This part of the Code of Federal Regulations establishes State plan requirements for the designation, organization, and general administrative activities of a State agency responsible for operating the State Medicaid program, directly or…”
RCJ Medical Services, Inc. v. Bonta´ (2001) calctapp “§ 1396a(a)(5); 42 C.F.R. §§ 431.1 and 431.10 . . . .” In Sobky v.”
State v. Chalice Renee Zeitner (2019) ariz “§ 1396a; 42 C.F.R. §§ 431.1 to 431.1010. A state's failure to comply with an approved Medicaid plan may result in a loss of federal funding.”
Rolland v. Cellucci (1999) mad “§ 1396a(a)(5); 42 C.F.R. §§ 431.1 and 431.10, it strains reason to conclude here that it is only DMA which may be held responsible as a matter of law for failures necessarily attributable to other state agencies.”
Harris v. James (1995) almd · cites it 2× “See, 42 C.F.R. §§ 431.1 et seq. This part of the Code of Federal Regulations establishes State plan requirements for the designation, organization, and general administrative activities of a State agency responsible for operating the State Medicaid program, directly or through…”
Dultz v. Velez (2010) njd “See 42 C.F.R. 431.1; N.J.A.C. 10:49-10.3. 4 To exercise that option, the applicant must request the hearing within twenty days of the adverse decision.”
California Hospital Ass'n v. Maxwell-Jolly (2011) caed “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 implementing the Rate Freeze in January, 2011.”
Hillburn v. Maher (1986) ca2 “§ 1396a(a)(5); 42 C.F.R. §§ 431.1 and 431.-10 (1985), was to avoid a lack of accountability for the appropriate operation of the program.”
Sandefur v. Cherry (1983) ca5 “§ 1396 (1976); see generally 42 C.F.R. §§ 431.1 -.802 (1981). . 42 U.S.”
Northwestern Memorial Healthcare v. Aetna Better Health of Illinois (2023) ilnd · cites it 3× “In support, Defendant cites 42 C.F.R. § 431.1 (E), 42 C.F.R. § 438 (F), 215 Ill.”
Family Health Centers of San Diego v. State Dept. of Health Care Services CA3 (2021) calctapp “§ 1396a(a)(5); 42 C.F.R. §§ 431.1 , 431.10 (2021).) Among the services covered under the Medi-Cal program are those provided by FQHC’s, community-based health care providers that receive federal grant funding for furnishing primary and specialty care services in medically…”
Family Health Centers of San Diego v. State Dept. of Health Care Service (2021) calctapp “§ 1396a(a)(5); 42 C.F.R. §§ 431.1 , 431.10 (2021).) Among the services covered under the Medi-Cal program are those provided by FQHC’s, community-based health care providers that receive federal grant funding for furnishing primary and specialty care services in medically…”
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