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Title 42 → Chapter IV → Subchapter C → Part 441

TITLE 42—Public Health

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

SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS

PART 441—SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC SERVICES

rule
§441.1
Purpose.

Subpart A—GENERAL PROVISIONS

§441.10
Basis.
§441.11
Continuation of FFP for institutional services.
§441.12
Inpatient hospital tests.
§441.13
Prohibitions on FFP: Institutionalized individuals.
§441.15
Home health services.
§441.16
Home health agency requirements for surety bonds; Prohibition on FFP.
§441.17
Laboratory services.
§441.18
Case management services.
§441.20
Family planning services.
§441.21
Nurse-midwife services.
§441.22
Nurse practitioner services.
§441.25
Prohibition on FFP for certain prescribed drugs.
§441.30
Optometric services.
§441.35
Organ transplants.
§441.40
End-stage renal disease.
rule

Subpart B—EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT (EPSDT) OF INDIVIDUALS UNDER AGE 21

§441.50
Basis and purpose.
§441.55
State plan requirements.
§441.56
Required activities.
§441.57
Discretionary services.
§441.58
Periodicity schedule.
§441.59
Treatment of requests for EPSDT screening services.
§441.60
Continuing care.
§441.61
Utilization of providers and coordination with related programs.
§441.62
Transportation and scheduling assistance.
rule

Subpart C—MEDICAID FOR INDIVIDUALS AGE 65 OR OVER IN INSTITUTIONS FOR MENTAL DISEASES

§441.100
Basis and purpose.
§441.101
State plan requirements.
§441.102
Plan of care for institutionalized beneficiaries.
§441.103
Alternate plans of care.
§441.105
Methods of administration.
§441.106
Comprehensive mental health program.
rule

Subpart D—INPATIENT PSYCHIATRIC SERVICES FOR INDIVIDUALS UNDER AGE 21 IN PSYCHIATRIC FACILITIES OR PROGRAMS

§441.150
Basis and purpose.
§441.151
General requirements.
§441.152
Certification of need for services.
§441.153
Team certifying need for services.
§441.154
Active treatment.
§441.155
Individual plan of care.
§441.156
Team developing individual plan of care.
§441.180
Maintenance of effort: General rule.
§441.181
Maintenance of effort: Explanation of terms and requirements.
§441.182
Maintenance of effort: Computation.
§441.184
Emergency preparedness.
rule

Subpart E—ABORTIONS

§441.200
Basis and purpose.
§441.201
Definition.
§441.202
General rule.
§441.203
Life of the mother would be endangered.
§§441.204-441.205
[Reserved]
§441.206
Documentation needed by the Medicaid agency.
§441.207
Drugs and devices and termination of ectopic pregnancies.
§441.208
Recordkeeping requirements.
rule

Subpart F—STERILIZATIONS

§441.250
Applicability.
§441.251
Definitions.
§441.252
State plan requirements.
§441.253
Sterilization of a mentally competent individual aged 21 or older.
§441.254
Mentally incompetent or institutionalized individuals.
§441.255
Sterilization by hysterectomy.
§441.256
Additional condition for Federal financial participation (FFP).
§441.257
Informed consent.
§441.258
Consent form requirements.
§441.259
Review of regulations.
Appendix
Appendix to Subpart F of Part 441—Required Consent Form
rule

Subpart G—HOME AND COMMUNITY-BASED SERVICES: WAIVER REQUIREMENTS

§441.300
Basis and purpose.
§441.301
Contents of request for a waiver.
§441.302
State assurances.
§441.303
Supporting documentation required.
§441.304
Duration, extension, and amendment of a waiver.
§441.305
Replacement of beneficiaries in approved waiver programs.
§441.306
Cooperative arrangements with the Maternal and Child Health program.
§441.307
Notification of a waiver termination.
§441.308
Hearings procedures for waiver terminations.
§441.310
Limits on Federal financial participation (FFP).
rule

Subpart H—HOME AND COMMUNITY-BASED SERVICES WAIVERS FOR INDIVIDUALS AGE 65 OR OLDER: WAIVER REQUIREMENTS

§441.350
Basis and purpose.
§441.351
Contents of a request for a waiver.
§441.352
State assurances.
§441.353
Supporting documentation required.
§441.354
Aggregate projected expenditure limit (APEL).
§441.355
Duration, extension, and amendment of a waiver.
§441.356
Waiver termination.
§441.357
Hearing procedures for waiver denials.
§441.360
Limits on Federal financial participation (FFP).
§441.365
Periodic evaluation, assessment, and review.
rule

Subpart I—COMMUNITY SUPPORTED LIVING ARRANGEMENTS SERVICES

§441.400
Basis and purpose.
§441.402
State plan requirements.
§441.404
Minimum protection requirements.
rule

Subpart J—OPTIONAL SELF-DIRECTED PERSONAL ASSISTANCE SERVICES PROGRAM

§441.450
Basis, scope, and definitions.
§441.452
Self-direction: General.
§441.454
Use of cash.
§441.456
Voluntary disenrollment.
§441.458
Involuntary disenrollment.
§441.460
Participant living arrangements.
§441.462
Statewideness, comparability and limitations on number served.
§441.464
State assurances.
§441.466
Assessment of need.
§441.468
Service plan elements.
§441.470
Service budget elements.
§441.472
Budget methodology.
§441.474
Quality assurance and improvement plan.
§441.476
Risk management.
§441.478
Qualifications of providers of personal assistance.
§441.480
Use of a representative.
§441.482
Permissible purchases.
§441.484
Financial management services.
rule

Subpart K—HOME AND COMMUNITY-BASED ATTENDANT SERVICES AND SUPPORTS STATE PLAN OPTION (COMMUNITY FIRST CHOICE)

§441.500
Basis and scope.
§441.505
Definitions.
§441.510
Eligibility.
§441.515
Statewideness.
§441.520
Included services.
§441.525
Excluded services.
§441.530
Home and Community-Based Setting.
§441.535
Assessment of functional need.
§441.540
Person-centered service plan.
§441.545
Service models.
§441.550
Service plan requirements for self-directed model with service budget.
§441.555
Support system.
§441.560
Service budget requirements.
§441.565
Provider qualifications.
§441.570
State assurances.
§441.575
Development and Implementation Council.
§441.580
Data collection.
§441.585
Quality assurance system.
§441.590
Increased Federal financial participation.
rule

Subpart L—VACCINES FOR CHILDREN PROGRAM

§441.600
Basis and purpose.
§441.605
General requirements.
§441.610
State plan requirements.
§441.615
Administration fee requirements.
rule

Subpart M—STATE PLAN HOME AND COMMUNITY-BASED SERVICES FOR THE ELDERLY AND INDIVIDUALS WITH DISABILITIES

§441.700
Basis and purpose.
§441.705
State plan requirements.
§441.710
State plan home and community-based services under section 1915(i)(1) of the Act.
§441.715
Needs-based criteria and evaluation.
§441.720
Independent assessment.
§441.725
Person-centered service plan.
§441.730
Provider qualifications.
§441.735
Definition of individual's representative.
§441.740
Self-directed services.
§441.745
State plan HCBS administration: State responsibilities and quality improvement.

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