42 CFR § 483.110 - Out-of-State arrangements.
---
identifier: "/us/cfr/t42/s483.110"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 483.110 - Out-of-State arrangements."
title_number: 42
title_name: "Public Health"
section_number: "483.110"
section_name: "Out-of-State arrangements."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "G"
subchapter_name: "STANDARDS AND CERTIFICATION"
part_number: "483"
part_name: "REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302, 1320a-7, 1395i, 1395hh and 1396r."
cfr_part: "483"
---
# 483.110 Out-of-State arrangements.
(a) *Basic rule.* The State in which the individual is a State resident (or would be a State resident at the time he or she becomes eligible for Medicaid), as defined in § 435.403 of this chapter, must pay for the PASARR and make the required determinations, in accordance with § 431.52(b).
(b) *Agreements.* A State may include arrangements for PASARR in its provider agreements with out-of-State facilities or reciprocal interstate agreements.
[57 FR 56506, Nov. 30, 1992; 58 FR 25784, Apr. 28, 1993]