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Title 42, Part 441 — Services: Requirements and Limits Applicable to Specific Services

140 sections

Section 441.1
Purpose.
Section 441.10
Basis.
Section 441.11
Continuation of FFP for institutional services.
Section 441.12
Inpatient hospital tests.
Section 441.13
Prohibitions on FFP: Institutionalized individuals.
Section 441.15
Home health services.
Section 441.16
Home health agency requirements for surety bonds; Prohibition on FFP.
Section 441.17
Laboratory services.
Section 441.18
Case management services.
Section 441.20
Family planning services.
Section 441.21
Nurse-midwife services.
Section 441.22
Nurse practitioner services.
Section 441.25
Prohibition on FFP for certain prescribed drugs.
Section 441.30
Optometric services.
Section 441.35
Organ transplants.
Section 441.40
End-stage renal disease.
Section 441.50
Basis and purpose.
Section 441.55
State plan requirements.
Section 441.56
Required activities.
Section 441.57
Discretionary services.
Section 441.58
Periodicity schedule.
Section 441.59
Treatment of requests for EPSDT screening services.
Section 441.60
Continuing care.
Section 441.61
Utilization of providers and coordination with related programs.
Section 441.62
Transportation and scheduling assistance.
Section 441.100
Basis and purpose.
Section 441.101
State plan requirements.
Section 441.102
Plan of care for institutionalized beneficiaries.
Section 441.103
Alternate plans of care.
Section 441.105
Methods of administration.
Section 441.106
Comprehensive mental health program.
Section 441.150
Basis and purpose.
Section 441.151
General requirements.
Section 441.152
Certification of need for services.
Section 441.153
Team certifying need for services.
Section 441.154
Active treatment.
Section 441.155
Individual plan of care.
Section 441.156
Team developing individual plan of care.
Section 441.180
Maintenance of effort: General rule.
Section 441.181
Maintenance of effort: Explanation of terms and requirements.
Section 441.182
Maintenance of effort: Computation.
Section 441.184
Emergency preparedness.
Section 441.200
Basis and purpose.
Section 441.201
Definition.
Section 441.202
General rule.
Section 441.203
Life of the mother would be endangered.
Section 441.204-441.205
§§ 441.204-441.205 [Reserved]
Section 441.206
Documentation needed by the Medicaid agency.
Section 441.207
Drugs and devices and termination of ectopic pregnancies.
Section 441.208
Recordkeeping requirements.
Section 441.250
Applicability.
Section 441.251
Definitions.
Section 441.252
State plan requirements.
Section 441.253
Sterilization of a mentally competent individual aged 21 or older.
Section 441.254
Mentally incompetent or institutionalized individuals.
Section 441.255
Sterilization by hysterectomy.
Section 441.256
Additional condition for Federal financial participation (FFP).
Section 441.257
Informed consent.
Section 441.258
Consent form requirements.
Section 441.259
Review of regulations.
Section 441.300
Basis and purpose.
Section 441.301
Contents of request for a waiver.
Section 441.302
State assurances.
Section 441.303
Supporting documentation required.
Section 441.304
Duration, extension, and amendment of a waiver.
Section 441.305
Replacement of beneficiaries in approved waiver programs.
Section 441.306
Cooperative arrangements with the Maternal and Child Health program.
Section 441.307
Notification of a waiver termination.
Section 441.308
Hearings procedures for waiver terminations.
Section 441.310
Limits on Federal financial participation (FFP).
Section 441.311
Reporting requirements.
Section 441.312
Home and community-based services quality measure set.
Section 441.313
Website transparency.
Section 441.350
Basis and purpose.
Section 441.351
Contents of a request for a waiver.
Section 441.352
State assurances.
Section 441.353
Supporting documentation required.
Section 441.354
Aggregate projected expenditure limit (APEL).
Section 441.355
Duration, extension, and amendment of a waiver.
Section 441.356
Waiver termination.
Section 441.357
Hearing procedures for waiver denials.
Section 441.360
Limits on Federal financial participation (FFP).
Section 441.365
Periodic evaluation, assessment, and review.
Section 441.400
Basis and purpose.
Section 441.402
State plan requirements.
Section 441.404
Minimum protection requirements.
Section 441.450
Basis, scope, and definitions.
Section 441.452
Self-direction: General.
Section 441.454
Use of cash.
Section 441.456
Voluntary disenrollment.
Section 441.458
Involuntary disenrollment.
Section 441.460
Participant living arrangements.
Section 441.462
Statewideness, comparability and limitations on number served.
Section 441.464
State assurances.
Section 441.466
Assessment of need.
Section 441.468
Service plan elements.
Section 441.470
Service budget elements.
Section 441.472
Budget methodology.
Section 441.474
Quality assurance and improvement plan.
Section 441.476
Risk management.
Section 441.478
Qualifications of providers of personal assistance.
Section 441.480
Use of a representative.
Section 441.482
Permissible purchases.
Section 441.484
Financial management services.
Section 441.486
Website transparency.
Section 441.500
Basis and scope.
Section 441.505
Definitions.
Section 441.510
Eligibility.
Section 441.515
Statewideness.
Section 441.520
Included services.
Section 441.525
Excluded services.
Section 441.530
Home and Community-Based Setting.
Section 441.535
Assessment of functional need.
Section 441.540
Person-centered service plan.
Section 441.545
Service models.
Section 441.550
Service plan requirements for self-directed model with service budget.
Section 441.555
Support system.
Section 441.560
Service budget requirements.
Section 441.565
Provider qualifications.
Section 441.570
State assurances.
Section 441.575
Development and Implementation Council.
Section 441.580
Data collection.
Section 441.585
Quality assurance system.
Section 441.590
Increased Federal financial participation.
Section 441.595
Website transparency.
Section 441.600
Basis and purpose.
Section 441.605
General requirements.
Section 441.610
State plan requirements.
Section 441.615
Administration fee requirements.
Section 441.700
Basis and purpose.
Section 441.705
State plan requirements.
Section 441.710
State plan home and community-based services under section 1915(i)(1) of the Act.
Section 441.715
Needs-based criteria and evaluation.
Section 441.720
Independent assessment.
Section 441.725
Person-centered service plan.
Section 441.730
Provider qualifications.
Section 441.735
Definition of individual's representative.
Section 441.740
Self-directed services.
Section 441.745
State plan HCBS administration: State responsibilities and quality improvement.
Section 441.750
Website transparency.