---
kind: "section"
citation: "42 C.F.R. § 441.11"
title: "42"
number: "441.11"
heading: "Continuation of FFP for institutional services."
url: "https://uscodex.org/cfr/42/441.11"
---

# §441.11. Continuation of FFP for institutional services.

- (a) **Basic conditions for continuation of FFP.** FFP may be continued for up to 30 days after the effective date of termination or expiration of a provider agreement, if the following conditions are met:
  - (1) The Medicaid payments are for beneficiaries admitted to the facility before the effective date of termination or expiration.
  - (2) The State agency is making reasonable efforts to transfer those beneficiaries to other facilities or to alternate care.
- (b) **When the 30-day period begins.** The 30-day period begins on one of the following:
  - (1) The effective date of termination of the facility's provider agreement by CMS;
  - (2) The effective date of termination of the facility's Medicaid provider agreement by the Medicaid agency on its own volition; or
  - (3) **In the case of an ICF/IID, the later of—**
    - (i) The effective date of termination or nonrenewal of the facility's provider agreement by the Medicaid agency on its own volition; or
    - (ii) The date of issuance of an administrative hearing decision that upholds the agency's termination or nonrenewal action.
- (c) **Services for which FFP may be continued.** FFP may be continued for any of the following services, as defined in [subpart A of part 440](/cfr/42/part440-subpartA.md) of this chapter:
  - (1) **Inpatient hospital services.**
  - (2) **Inpatient hospital services for individuals age 65 or older in an institution for mental diseases.**
  - (3) **Nursing facility services for individuals age 21 or older.**
  - (4) **Nursing facility services for individuals age 65 or older in an institution for mental diseases.**
  - (5) **Inpatient psychiatric services for individuals under age 21.**
  - (6) **Nursing facility services for individuals under 21.**
  - (7) **Intermediate care facility services for individuals with intellectual disabilities.**

## Notes

### Amendments

[59 FR 56234, Nov. 10, 1994]

### Authority

Authority: 42 U.S.C. 1302.

### Source

Source: 43 FR 45229, Sept. 29, 1978, unless otherwise noted.

### Amendments

[59 FR 56234, Nov. 10, 1994]