42 C.F.R. § 433.51

Public Funds as the State share of financial participation

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(a) Public Funds may be considered as the State's share in claiming FFP if they meet the conditions specified in paragraphs (b) and (c) of this section.

(b) The public funds are appropriated directly to the State or local Medicaid agency, or are transferred from other public agencies (including Indian tribes) to the State or local agency and under its administrative control, or certified by the contributing public agency as representing expenditures eligible for FFP under this section.

(c) The public funds are not Federal funds, or are Federal funds authorized by Federal law to be used to match other Federal funds.

[75 FR 73975, Nov. 30, 2010]
Notes of Decisions
Cited in 3 cases (1 in the last 5 years), 2012–2022 · leading case: Sierra Med. Servs. All. v. Jennifer Kent, 883 F.3d 1216 (9th Cir. 2018).
Sierra Med. Servs. All. v. Jennifer Kent, 883 F.3d 1216 (9th Cir. 2018). · cites it 2× “42 C.F.R. § 433.51 (a), (b). In exchange for receiving their allotment of federal funds, states design and administer Medicaid State Plans that must comply with federal Medicaid law.”
United States Ex Rel. Black v. Health & Hosp. Corp. of Marion Cnty., 494 F. App'x 285 (4th Cir. 2012). “]” 42 C.F.R. § 433.51 (b). In the early 2000s, the Medicaid funding landscape changed when Congress adopted a system that would set new UPLs on overall aggregate payments to Medicaid providers by class (e.”
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