§431.960. Types of payment errors. — Inbound Citations
42 C.F.R. § 431.960
Statutory Authority
Cited by 9 regulations in release Current.
Citations to 42 U.S.C. § 431.960 as a whole
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(a) HHS regulations in §§ 431.800 through 431.1010 of this chapter (related to the PERM and MEQC programs); §§ 433.312 through 433.322 of this chapter (related to Overpayments); § 433.38 of this chapter (Interest charge on disallowed claims of FFP); §§ 430.40 through 430.42 of this chapter (Deferral of claims for FFP and Disallowance of claims for FFP); § 430.48 of this chapter (Repayment of Federal funds by installments); §§ 433.50 through 433.74 of this chapter (sources of non-Federal share and Health Care-Related Taxes and Provider Related Donations); and § 447.207 of this chapter (Retention of Payments) apply to State's CHIP programs in the same manner as they apply to State's Medicaid programs.
Citations to §431.960(b)
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Adjudication date means either the date on which money was obligated to pay a claim or the date the decision was made to deny a claim.
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(1) The Medicaid and CHIP national improper payment rates include, but are not limited to, the errors described in paragraphs (b) through (d) of this section.
Citations to §431.960(c)
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Adjudication date means either the date on which money was obligated to pay a claim or the date the decision was made to deny a claim.
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(1) The Medicaid and CHIP national improper payment rates include, but are not limited to, the errors described in paragraphs (b) through (d) of this section.
Citations to §431.960(d)
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Adjudication date means either the date on which money was obligated to pay a claim or the date the decision was made to deny a claim.
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(1) The Medicaid and CHIP national improper payment rates include, but are not limited to, the errors described in paragraphs (b) through (d) of this section.
Citations to §431.960(e)(2)
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Adjudication date means either the date on which money was obligated to pay a claim or the date the decision was made to deny a claim.
Citations to §431.960(f)(1)
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(1) The corrective action plan must address all errors that are included in the State improper payment rate defined at § 431.960(f)(1) and all deficiencies.