---
kind: "section"
citation: "42 C.F.R. § 433.114"
title: "42"
number: "433.114"
heading: "Procedures for obtaining initial approval; notice of decision."
url: "https://uscodex.org/cfr/42/433.114"
---

# §433.114. Procedures for obtaining initial approval; notice of decision.

- (a) To obtain initial approval, the Medicaid agency must inform CMS in writing that the system meets the conditions specified in [§ 433.116(c) through (i)](/cfr/42/433.116.md?p=c..i).
- (b) If CMS disapproves the system, the notice will include all of the following information:
  - (1) **The findings of fact upon which the determination was made.**
  - (2) The procedures for appeal of the determination in the context of a reconsideration of the resulting disallowance to the Departmental Appeals Board.

## Notes

### Amendments

[50 FR 30847, July 30, 1985, as amended at 54 FR 41973, Oct. 13, 1989; 76 FR 21974, Apr. 19, 2011]

### Authority

Authority: 42 U.S.C. 1302.

### Source

Source: 43 FR 45201, Sept. 29, 1978, unless otherwise noted.

### Amendments

[50 FR 30847, July 30, 1985, as amended at 54 FR 41973, Oct. 13, 1989; 76 FR 21974, Apr. 19, 2011]