42 CFR 430.45 - Reduction of Federal Medicaid payments.

Regulations last checked for updates: Dec 17, 2025

Title 42 - Public Health last revised: Dec 04, 2025

View all text of Subpart C [§ 430.30 - § 430.49]

§ 430.45 - Reduction of Federal Medicaid payments.

(a) Methods of reduction. CMS may reduce Medicaid payments to a State as required under the Act by reducing—

(1) The Federal Medical Assistance Percentage;

(2) The amount of State expenditures subject to FFP;

(3) The rates of FFP; or

(4) The amount otherwise payable to the State.

(b) Right to reconsideration. A state that receives written final notice of a reduction under paragraph (a) of this section has a right to reconsideration. The provisions of § 430.42 (b) and (c) apply.

(c) Other applicable rules. Other rules regarding reduction of Medicaid payments are set forth in parts 433 and 447 of this chapter.

authority: 42 U.S.C. 1302.

source: 53 FR 36571, Sept. 21, 1988, unless otherwise noted.

cite as: 42 CFR 430.45