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42 CFR § 495.346 - Access to systems and records.

---
identifier: "/us/cfr/t42/s495.346"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 495.346 - Access to systems and records."
title_number: 42
title_name: "Public Health"
section_number: "495.346"
section_name: "Access to systems and records."
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"
---

# 495.346 Access to systems and records.

The State agency must allow HHS access to all records and systems operated by the State in support of this program, including cost records associated with approved administrative funding and incentive payments to Medicaid providers. State records related to contractors employed for the purpose of assisting with implementation or oversight activities or providing assistance, at such intervals as are deemed necessary by the Department to determine whether the conditions for approval are being met and to determine the efficiency, economy, and effectiveness of the program.