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43 FR 45188, Sept. 29, 1978, unless otherwise noted.
Sections 431.800 through 431.808 appear at 55 FR 22166, May 31, 1990, unless otherwise noted.
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Nomenclature changes to part 431 appear at 75 FR 48852, Aug. 11, 2010.
This subpart establishes State requirements for the Medicaid Eligibility Quality Control (MEQC) Program designed to reduce erroneous expenditures by monitoring eligibility determinations and a claims processing assessment that monitors claims processing operations. MEQC will work in conjunction with the Payment Error Rate Measurement (PERM) Program established in subpart Q of this part. In years in which the State is required to participate in PERM, as stated in subpart Q of this part, it will only participate in the PERM program and will not be required to conduct a MEQC pilot. In the 2 years between PERM cycles, the State is required to conduct a MEQC pilot, as set forth in this subpart.
[82 FR 31182, July 5, 2017]