C.F.R. » Title 42 » CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES › SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS › PART 435—ELIGIBILITY IN THE STATES, DISTRICT OF COLUMBIA, THE NORTHERN MARIANA ISLANDS, AND AMERICAN SAMOA › Subpart J—Eligibility in the States and District of Columbia

42 C.F.R. § 435.902

Simplicity of administration

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The agency's policies and procedures must ensure that eligibility is determined in a manner consistent with simplicity of administration and the best interests of the applicant or beneficiary.

[44 FR 17937, Mar. 23, 1979. Redesignated at 59 FR 48809, Sept. 23, 1994]
Notes of Decisions
Cited in 3 cases, 1984–2001 · leading case: Kessler v. Blum, 591 F. Supp. 1013 (S.D.N.Y. 1984).
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Kessler v. Blum, 591 F. Supp. 1013 (S.D.N.Y. 1984). “Plaintiffs rely upon the sections of the Social Security Act which require state Medicaid plans to employ such methods of administration as “necessary for the proper administration of the plan” and “consistent with simplicity of administration and the best interests of…”
Cook v. Barry, 718 F. Supp. 632 (S.D. Ohio 1989). “42 C.F.R. § 435.902 . A participating state must provide all individuals who wish to apply for Medicaid benefits an opportunity to do so and must furnish benefits to all eligible individuals with reasonable promptness.”
Rosen v. Tennessee Comm'r of Fin. & Admin., 204 F. Supp. 2d 1048 (M.D. Tenn. 2001). “42 C.F.R. § 435.902 requires the Defendant’s policies and procedures to provide for the “simplicity of administration” and to serve “the best interest of the applicant or recipient.”
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