42 CFR § 495.340 - As-needed HIT PAPD update and as-needed HIT IAPD update requirements.

---
identifier: "/us/cfr/t42/s495.340"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 495.340 - As-needed HIT PAPD update and as-needed HIT IAPD update requirements."
title_number: 42
title_name: "Public Health"
section_number: "495.340"
section_name: "As-needed HIT PAPD update and as-needed HIT IAPD update requirements."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "G"
subchapter_name: "STANDARDS AND CERTIFICATION"
part_number: "495"
part_name: "STANDARDS FOR THE ELECTRONIC HEALTH RECORD TECHNOLOGY INCENTIVE PROGRAM"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302 and 1395hh."
regulatory_source: "75 FR 44565, July 28, 2010, unless otherwise noted."
cfr_part: "495"
---


# 495.340 As-needed HIT PAPD update and as-needed HIT IAPD update requirements.

Each State must submit a HIT PAPD update or a HIT IAPD no later than 60 days after the occurrence of project changes including but not limited to any of the following:

(a) A projected cost increase of $100,000 or more.

(b) A schedule extension of more than 60 days for major milestones.

(c) A significant change in planning approach or implementation approach, or scope of activities beyond that approved in the HIT planning advance planning document or the HIT implementation advance planning document.

(d) A change in implementation concept or a change to the scope of the project.

(e) A change to the approved cost allocation methodology.