---
kind: "section"
citation: "42 C.F.R. § 495.338"
title: "42"
number: "495.338"
heading: "Health information technology implementation advance planning document requirements (HIT IAPD)."
url: "https://uscodex.org/cfr/42/495.338"
---

# §495.338. Health information technology implementation advance planning document requirements (HIT IAPD).


Each State's HIT IAPD must contain the following:

- (a) The results of the activities conducted as a result of the HIT planning advance planning document, including the approved state Medicaid HIT plan.
- (b) **A statement of needs and objectives.**
- (c) **A statement of alternative considerations.**
- (d) A personnel resource statement indicating availability of qualified and adequate staff, including a project director to accomplish the project objectives.
- (e) A detailed description of the nature and scope of the activities to be undertaken and the methods to be used to accomplish the project.
- (f) **The proposed activity schedule for the project.**
- (g) A proposed budget including a consideration of all HIT implementation advance planning document activity costs, including but not limited to the following:
  - (1) **The cost to implement and administer incentive payments.**
  - (2) **Procurement or acquisition.**
  - (3) **State personnel.**
  - (4) **Contractor services.**
  - (5) **Hardware, software, and licensing.**
  - (6) **Equipment and supplies.**
  - (7) **Training and outreach.**
  - (8) **Travel.**
  - (9) **Administrative operations.**
  - (10) **Miscellaneous expenses for the project.**
- (h) An estimate of prospective cost distribution to the various State and Federal funding sources and the proposed procedures for distributing costs including:
  - (1) Planned annual payment amounts;
  - (2) Total of planned payment amounts; and
  - (3) **Calendar year of each planned annual payment amount.**
  - (4) A statement setting forth the security and interface requirements to be employed for all State HIT systems, and related systems, and the system failure and disaster recovery procedures available.

## Notes

### Authority

Authority: 42 U.S.C. 1302 and 1395hh.

### Source

Source: 75 FR 44565, July 28, 2010, unless otherwise noted.