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Electronic Code of Federal Regulations

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e-CFR Data is current as of September 16, 2014

Title 42Chapter IVSubchapter GPart 495


TITLE 42—Public Health

CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)

SUBCHAPTER G—STANDARDS AND CERTIFICATION

PART 495—STANDARDS FOR THE ELECTRONIC HEALTH RECORD TECHNOLOGY INCENTIVE PROGRAM

rule

Subpart A—GENERAL PROVISIONS

§495.2
Basis and purpose.
§495.4
Definitions.
§495.5
Requirements for EPs seeking to reverse a hospital-based determination under §495.4.
§495.6
Meaningful use objectives and measures for EPs, eligible hospitals, and CAHs.
§495.8
Demonstration of meaningful use criteria.
§495.10
Participation requirements for EPs, eligible hospitals, and CAHs.
rule

Subpart B—REQUIREMENTS SPECIFIC TO THE MEDICARE PROGRAM

§495.100
Definitions.
§495.102
Incentive payments to EPs.
§495.104
Incentive payments to eligible hospitals.
§495.106
Incentive payments to CAHs.
§495.108
Posting of required information.
§495.110
Preclusion on administrative and judicial review.
rule

Subpart C—REQUIREMENTS SPECIFIC TO MEDICARE ADVANTAGE (MA) ORGANIZATIONS

§495.200
Definitions.
§495.202
Identification of qualifying MA organizations, MA-EPs and MA-affiliated eligible hospitals.
§495.204
Incentive payments to qualifying MA organizations for qualifying MA-EPs and qualifying MA-affiliated eligible hospitals.
§495.206
Timeframe for payment to qualifying MA organizations.
§495.208
Avoiding duplicate payment.
§495.210
Meaningful EHR user attestation.
§495.211
Payment adjustments effective for 2015 and subsequent MA payment years with respect to MA EPs and MA-affiliated eligible hospitals.
§495.212
Limitation on review.
rule

Subpart D—REQUIREMENTS SPECIFIC TO THE MEDICAID PROGRAM

§495.300
Basis and purpose.
§495.302
Definitions.
§495.304
Medicaid provider scope and eligibility.
§495.306
Establishing patient volume.
§495.308
Net average allowable costs as the basis for determining the incentive payment.
§495.310
Medicaid provider incentive payments.
§495.312
Process for payments.
§495.314
Activities required to receive an incentive payment.
§495.316
State monitoring and reporting regarding activities required to receive an incentive payment.
§495.318
State responsibilities for receiving FFP.
§495.320
FFP for payments to Medicaid providers.
§495.322
FFP for reasonable administrative expenses.
§495.324
Prior approval conditions.
§495.326
Disallowance of FFP.
§495.328
Request for reconsideration of adverse determination.
§495.330
Termination of FFP for failure to provide access to information.
§495.332
State Medicaid health information technology (HIT) plan requirements.
§495.334
[Reserved]
§495.336
Health information technology planning advance planning document requirements (HIT PAPD).
§495.338
Health information technology implementation advance planning document requirements (HIT IAPD).
§495.340
As-needed HIT PAPD update and as-needed HIT IAPD update requirements.
§495.342
Annual HIT IAPD requirements.
§495.344
Approval of the State Medicaid HIT plan, the HIT PAPD and update, the HIT IAPD and update, and the annual HIT IAPD.
§495.346
Access to systems and records.
§495.348
Procurement standards.
§495.350
State Medicaid agency attestations.
§495.352
Reporting requirements.
§495.354
Rules for charging equipment.
§495.356
Nondiscrimination requirements.
§495.358
Cost allocation plans.
§495.360
Software and ownership rights.
§495.362
Retroactive approval of FFP with an effective date of February 18, 2009.
§495.364
Review and assessment of administrative activities and expenses of Medicaid provider health information technology adoption and operation.
§495.366
Financial oversight and monitoring of expenditures.
§495.368
Combating fraud and abuse.
§495.370
Appeals process for a Medicaid provider receiving electronic health record incentive payments.


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