DHCFP INDEX
>-- Choose a Section --< 1.0 SINGLE STATE AGENCY ORGANIZATION UNIT 2.0 COVERAGE AND ELIGIBILITY 3.0 SERVICES: GENERAL PROVISIONS 4.0 GENERAL PROGRAM ADMINISTRATION 5.0 PERSONNEL ADMINISTRATION 6.0 FINANCIAL ADMINISTRATION 7.0 GENERAL PROVISIONS
1.1 Designation and Authority 1.1 Attachment A Attorney Generals Certification 1.1 Attachment B Waivers under the Intergovernmental Cooperation Act 1.2 Organization for Administration 1.2 Attachment A Organization and Function of State Agency 1.2 Attachment B Organization Medical Assistance Unit 1.2 Attachment C Professional Medical and Supporting Staff 1.4 State Medical Care Advisory Committee 1.5 Pediatric Immunization Program
2.1 Application, Determination of Eligibility and Furnishing Medicaid 2.1 Attachment A 2.2 Coverage and Conditions of Eligibility 2.2. Attachment A Groups Covered 2.2 Supplemental 1 2.2 Supplemental 3 2.3 Residence 2.4 Blindness 2.5 Disability 2.6 Financial Eligibility 2.6 Attachment A 2.6 Attachment A Supplemental 1 2.6 Attachment A Supplemental 2 2.6 Attachment A Supplemental 3 2.6 Attachment A Supplemental 4 2.6 Attachment A Supplemental 5 2.6 Attachment A Supplemental 5a 2.6 Attachment A Supplemental 6 2.6 Attachment A Supplemental 7 2.6 Attachment A Supplemental 8 2.6 Attachment A Supplement 8a 2.6 Addendum Supplemental 8b 2.6 Attachment A Supplemental 9 2.6 Addendum Supplemental 9a 2.6 Appendix 1 to Supplemental 9 2.6 Attachment A Supplemental 10 2.6 Attachment A Supplemental 11 2.6 Attachment A Supplemental 12 2.6 Attachment A Addendum to Supplement 12 2.6 Attachment A Supplemental 13 2.6 Appendix 1 to Supplemental 13 2.6 Attachment A Supplemental 14 2.6 Attachment A Supplemental 15 2.7 Medicaid Furnished Out of State
3.1 Amount, Duration, and Scope of Services 3.1 Attachment A 3.1 Attachment A Supplemental 1 3.1Attachment B 3.1 Attachment C 3.1 Attachment D 3.1 Attachment E 3.1 Attachment F 3.1 Attachment G 3.2 Coordination of Medicaid with Medicare Part B 3.2 Attachment A Supplemental 1 3.3 Medicaid for Individuals Age 65 or Over in Institutions for Mental Diseases 3.4 Special Requirements Applicable to Sterilization Procedures 3.5 Medicaid for Medicare Cost Sharing for Qualified Medicare Beneficiaries 3.6 Reserved
4.1 Methods of Administration 4.2 Hearings for Applicants and Recipients 4.3 Safeguarding Information on Applicants and Recipients 4.4 Medicaid Quality Control 4.5 Medicaid Agency Fraud Detection and Investigation Program 4.6 Reports 4.7 Maintenance of Records 4.8 Availability of Agency Program Manuals 4.9 Reporting Provider Payments to the Internal Revenue Service 4.10 Free Choice of Providers 4.10 Attachment A 4.11 Relations with Standard-Setting and Survey Agencies 4.11 Attachment A 4.12 Consultation to Medical Facilities 4.13 Required Provider Agreement 4.14 Utilization Control 4.14 Attachment A-None 4.14 Attachment B 4.15 Inspections of Care in Skilled Nursing and Intermediate Care Facilities and Institutions for Mental Diseases 4.16 Relations with State Health and Vocational Rehabilitation Agencies and Title V Grantees 4.16 Attachment A 4.17 Liens and Recoveries 4.17 Attachment A 4.18 Cost Sharing and Similar Charges 4.18 Attachment A 4.18 Attachment B-None 4.18 Attachment C 4.19 Payment for Services 4.19 Attachment A Methods 4.19 Attachment A Assurance 4.19 Attachment B 4.19 Attachment B Supplemental 1 4.19 Attachment B Supplemental 2 4.19 Attachment B Assurances 4.19 Attachment C 4.19 Attachment D 4.19 Attachment D Assurance 4.19 Attachment D Payment for Long Term Nursing 4.19 Attachment E 4.19 Attachment
4.20 Direct Payments to certain Recipients for Physicians' or Dentists' Services 4.21 Prohibition Against Reassignment of Provider Claims 4.21 Attachment A 4.22 Third Party Liability 4.22A Attachment 4.22B Attachment 4.22C Attachment Supplement to Attachment 4.23 Use of Contracts 4.24 Standards for Payments for Skilled Nursing and Intermediate Care Facility Services 4.25 Program for Licensing Administrators of Nursing Homes 4.26 RESERVED 4.27 Disclosure of Survey information and Provider or Contractor Evaluation 4.28 Appeals Process for Skilled Nursing and Intermediate Care Facilities 4.29 Conflict of Interest Provisions 4.30 Exclusion of Providers and Suspension of Practitioners Convicted and Other Individuals 4.30 Attachment A 4.31 Disclosure of Information by Providers and Fiscal Agents 4.32 Income and Eligibility Verification System Attachment 4.33 Medicaid Eligibility Cards for Homeless Individuals 4.33 Attachment A 4.34 Systematic Alien Verification for Entitlements 4.34 Attachment A 4.35 Remedies for Skilled Nursing and Intermediate Care Facilities that Do Not Meet Requirements of Participation 4.35 Attachment A 4.35 Attachment B 4.35 Attachment C 4.35 Attachment D 4.35 Attachment E 4.35 Attachment F 4.35 Attachment G 4.35 Attachment H 4.36 Required Coordination Between the Medicaid and WIC Programs 4.38 Nurse Aide Training and Competency Evaluation for Nursing Facilities 4.38 Attachment A 4.39 Preadmission Screening and Annual Resident Review in Nursing Facilities 4.39 Attachment A 4.40 Survey and Certification Process 4.40 Attachment A 4.40 Attachment B 4.40 Attachment C 4.40 Attachment D 4.40 Attachment E 4.41 RESERVED 4.42Employee Education About False Claims Recoveries 4.42 Attachment A 4.43 Medicaid Integrity Program
5.1 Standards of Personnel Administration 5.2 RESERVED 5.3 Training Programs; Sub-Professional and Volunteer Programs
6.1 Fiscal Policies and Accountability 6.2 Cost Allocation 6.3 State Financial Participation
7.1 Plan Amendments 7.2 Nondiscrimination 7.2 Attachment A 7.3 RESERVED 7.4 State Governor's Review