42 CFR 431.40 : Public Health (Part 1 To Parts 1009-1099) — (§ 430.0 To Part 481) — Centers For Medicare & Medicaid Services, Department Of Health And Human Services (Continued) (§ 430.0 To Part 481) — Medical Assistance Programs (§ 430.0 To § 456.725) — State Organization And General Administration (§ 431.1 To § 431.1002) — General Administrative Requirements (§ 431.40 To § 431.56) — Basis and scope.

4 Aug 2016

(a) This subpart sets forth State plan requirements and exceptions that pertain to the following administrative requirements and provisions of the Act:

(1) Statewideness - section 1902(a)(1);

(2) Proper and efficient administration - section 1902(a)(4);

(3) Comparability of services - section 1902(a)(10) (B)-(E);

(4) Payment for services furnished outside the State - section 1902(a)(16);

(5) Free choice of providers - section 1902(a)(23);

(6) Special waiver provisions applicable to American Samoa and the Northern Mariana Islands - section 1902(j); and

(7) Exceptions to, and waiver of, State plan requirements - sections 1915 (a)-(c) and 1916 (a)(3) and (b)(3).

(b) Other applicable regulations include the following:

(1) Section 430.25 Waivers of State plan requirements.

(2) Section 440.250 Limits on comparability of services.

42 CFR 431.40