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Regulations last checked for updates: May 23, 2025

Title 42 - Public Health last revised: May 16, 2025
All TitlesTitle 42Chapter IVPart 431Subpart P - Subpart P—Quality Control

MEDICAID ELIGIBILITY QUALITY CONTROL (MEQC) PROGRAM
  • § 431.800 - Basis and scope.
  • § 431.804 - Definitions.
  • § 431.806 - State requirements.
  • § 431.808 - Protection of beneficiary rights.
  • § 431.810 - Basic elements of the Medicaid Eligibility Quality Control (MEQC) Program.
  • § 431.812 - Review procedures.
  • § 431.814 - Pilot planning document.
  • § 431.816 - Case review completion deadlines and submittal of reports.
  • § 431.818 - Access to records.
  • § 431.820 - Corrective action under the MEQC program.

MEDICAID QUALITY CONTROL (MQC) CLAIMS PROCESSING ASSESSMENT SYSTEM
  • § 431.830 - Basic elements of the Medicaid quality control (MQC) claims processing assessment system.
  • § 431.832 - Reporting requirements for claims processing assessment systems.
  • § 431.834 - Access to records: Claims processing assessment systems.
  • § 431.836 - Corrective action under the MQC claims processing assessment system.
authority: 42 U.S.C. 1302.
source: 43 FR 45188, Sept. 29, 1978, unless otherwise noted.
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