C.F.R. » Title 45 » SUBCHAPTER A—GENERAL ADMINISTRATION › PART 95—GENERAL ADMINISTRATION—GRANT PROGRAMS (PUBLIC ASSISTANCE, MEDICAL ASSISTANCE AND STATE CHILDREN'S HEALTH INSURANCE PROGRAMS) › Subpart A—Time Limits for States To File Claims

45 C.F.R. § 95.19

Exceptions to time limits

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The time limits in §§ 95.7 and 95.10 do not apply to any of the following—

(a) Any claim for an adjustment to prior year costs.

(b) Any claim resulting from an audit exception.

(c) Any claim resulting from a court-ordered retroactive payment.

(d) Any claim for which the Secretary decides there was good cause for the State's not filing it within the time limit.

Notes of Decisions
Cited in 1 case, 2012–2012 · leading case: West Virginia Dep't of Health & Human Resources v. United States Dep't of Health & Human Servs., 899 F. Supp. 2d 477 (S.D.W. Va 2012).
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West Virginia Dep't of Health & Human Resources v. United States Dep't of Health & Human Servs., 899 F. Supp. 2d 477 (S.D.W. Va 2012). “45 C.F.R. § 95.19 . The regulations further state that: Adjustment to prior year costs means an adjustment in the amount of a particular cost item that was previously claimed under an interim rate concept and for which it is later determined that the cost is greater or less than…”
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