---
kind: "section"
citation: "42 C.F.R. § 495.340"
title: "42"
number: "495.340"
heading: "As-needed HIT PAPD update and as-needed HIT IAPD update requirements."
url: "https://uscodex.org/cfr/42/495.340"
---

# §495.340. As-needed HIT PAPD update and as-needed HIT IAPD update requirements.


Each State must submit a HIT PAPD update or a HIT IAPD no later than 60 days after the occurrence of project changes including but not limited to any of the following:

- (a) **A projected cost increase of $100,000 or more.**
- (b) **A schedule extension of more than 60 days for major milestones.**
- (c) A significant change in planning approach or implementation approach, or scope of activities beyond that approved in the HIT planning advance planning document or the HIT implementation advance planning document.
- (d) **A change in implementation concept or a change to the scope of the project.**
- (e) **A change to the approved cost allocation methodology.**

## Notes

### Authority

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

### Source

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