42 Public Health 3 1999-10-01 1999-10-01 false IV CHAPTER IV Public Health 42 CFR Ch. IV (10-1-99 Edition) Health Care Financing Administration, HHS CHAPTER IV—HEALTH CARE FINANCING ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES—(Continued) SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS Part Page 430 Grants to States for Medical Assistance Programs 5 431 State organization and general administration. 19 432 State personnel administration 60 433 State fiscal administration 64 434 Contracts 101 435 Eligibility in the States, District of Columbia, the Northern Mariana Islands, and American Samoa 113 436 Eligibility in Guam, Puerto Rico, and the Virgin Islands 171 440 Services: General provisions. 196 441 Services: Requirements and limits applicable to specific services 212 442 Standards for payment to nursing facilities and intermediate care facilities for the mentally retarded 246 447 Payments for services 253 455 Program integrity: Medicaid 275 456 Utilization control 282 SUBCHAPTER D—PEER REVIEW ORGANIZATIONS 462 Peer review organizations 319 466 Utilization and quality control review 321 473 Reconsiderations and appeals 334 476 Acquisition, protection, and disclosure of peer review information 340 SUBCHAPTER E—STANDARDS AND CERTIFICATION 482 Conditions of participation for hospitals 351 483 Requirements for States and long term care facilities 373 484 Conditions of participation: Home health agencies 433 485 Conditions of participation: Specialized providers 447 486 Conditions for coverage of specialized services furnished by suppliers 472 488 Survey, certification, and enforcement procedures 502 489 Provider agreements and supplier approval 787 491 Certification of certain health facilities 813 493 Laboratory requirements 819 494 [Reserved] 498 Appeals procedures for determinations that affect participation in the Medicare program and for determinations that affect the participation of ICFs/MR and certain NFs in the Medicaid program 941