C.F.R. » Title 42 » CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES › SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS › PART 433—STATE FISCAL ADMINISTRATION › Subpart C—Mechanized Claims Processing and Information Retrieval Systems

42 C.F.R. § 433.110

Basis, purpose, and applicability

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(a) This subpart implements the following sections of the Act:

(1) Section 1903(a)(3) of the Act, which provides for FFP in State expenditures for the design, development, or installation of mechanized claims processing and information retrieval systems and for the operation of certain systems. Additional HHS regulations and CMS procedures for implementing these regulations are in 45 CFR part 75, 45 CFR part 95, subpart F, and part 11, State Medicaid Manual; and

(2) Section 1903(r) of the Act, which imposes certain standards and conditions on mechanized claims processing and information retrieval systems (including eligibility determination systems) in order for these systems to be eligible for Federal funding under section 1903(a) of the Act.

(b) [Reserved]

[50 FR 30846, July 30, 1985, as amended at 54 FR 41973, Oct. 13, 1989; 76 FR 21973, Apr. 19, 2011; 80 FR 75841, Dec. 4, 2015]
Notes of Decisions
Cited in 3 cases, 1993–2002 · leading case: New York Dep't of Soc. Servs. v. Sullivan, 811 F. Supp. 964 (S.D.N.Y. 1993).
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New York Dep't of Soc. Servs. v. Sullivan, 811 F. Supp. 964 (S.D.N.Y. 1993). “” *967 Chapter 11 of the State Medicaid Manual (“SMM”), which is made part of the regulatory scheme by 42 C.F.R. § 433.110 (a)(1) (1991), discusses the funding scheme in more detail.”
New York Dep't of Soc. Servs. v. Shalala, 21 F.3d 485 (2d Cir. 1994). “42 C.F.R. § 433.110 (a)(1). Section 11255 of the SMM, known as the “transition funding policy,” provides that: Projects for designing, developing, installing, or improving an automated claims processing and information retrieval system will be funded during the transition…”
Indiana Fam. & Soc. Servs. Admin. v. Thompson, 286 F.3d 476 (7th Cir. 2002). “Another regulation, 42 C.F.R. § 433.110 (a)(1), directs the reader to HCFA’s State Medicaid Manual (SMM) for additional guidelines.”
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