Link to an amendment published at 89 FR 80069, Oct. 2, 2024.
(a) Basic requirements. FFP is available only for periods during which the contract—
(1) Meets the requirements of this part;
(2) Meets the applicable requirements of 45 CFR part 75; and
(3) Is in effect.
(b) Basis for withholding. CMS may withhold FFP for any period during which the State fails to meet the State plan requirements of this part.
[67 FR 41095, June 14, 2002, as amended at 81 FR 3011, Jan. 20, 2016]
Under each contract with a fiscal agent—
(a) The amount paid to the provider of medical services is a medical assistance cost; and
(b) The amount paid to the contractor for performing the agreed-upon functions is an administrative cost.
A Medicaid agency dissatisfied with a disallowance of FFP under this subpart may request and will be granted reconsideration in accordance with 45 CFR part 16.
source: 48 FR 54020, Nov. 30, 1983, unless otherwise noted.
cite as: 42 CFR 434.76