---
kind: "section"
citation: "42 C.F.R. § 430.45"
title: "42"
number: "430.45"
heading: "Reduction of Federal Medicaid payments."
url: "https://uscodex.org/cfr/42/430.45"
---

# §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)](#a) of this section has a right to reconsideration. The provisions of § [430.42 (b)](/cfr/42/430.42.md?p=b) and [(c)](/cfr/42/430.42.md?p=c) apply.
- (c) **Other applicable rules.** Other rules regarding reduction of Medicaid payments are set forth in parts [433](/cfr/42/part433.md) and [447](/cfr/42/part447.md) of this chapter.

## Notes

### Authority

Authority: 42 U.S.C. 1302.

### Source

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