Parts in scope

Potential parts to add

We want to focus on including parts that are relevant and important to CMCS staff.

Potential analyses we could do to help us prioritize parts:

• Which out-of-scope regulation parts are most frequently referenced in the text of our current in-scope regulations?
• Which out-of-scope regulation parts are most frequently listed as locations for our in-scope resources, especially Federal Register documents?

For State Officers and other DSS staff:

• 45 CFR 75 - Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards

To support Basic Health Program:

• 45 CFR 144 - Requirements Relating to Health Insurance Coverage

Additional helpful info for CMCS staff:

• 42 CFR 2 - Confidentiality of Substance Use Disorder Patient Records
• 45 CFR 16 - Procedures of the Departmental Grant Appeals Board
• 45 CFR 80 - Nondiscrimination Under Programs Receiving Federal Assistance Through the Department of Health and Human Services Effectuation of Title VI of the Civil Rights Act of 1964
• 45 CFR 84 - Nondiscrimination on the Basis of Handicap in Programs or Activities Receiving Federal Financial Assistance
• 45 CFR 91 - Nondiscrimination on the Basis of Age in Programs or Activities Receiving Federal Financial Assistance from HHS
• 45 CFR 92 - Nondiscrimination on the Basis of Race, Color, National Origin, Sex, Age, or Disability in Health Programs or Activities Receiving Federal Financial Assistance and Programs or Activities Administered by the Department of Health and Human Services Under Title I of the Patient Protection and Affordable Care Act or by Entities Established Under Such Title
• 45 CFR 146 - Requirements for the Group Health Insurance Market
• 45 CFR 147 - Health Insurance Reform Requirements for the Group and Individual Health Insurance Markets
• 45 CFR 152 - Pre-Existing Condition Insurance Plan Program
• 45 CFR 158 - Issuer Use of Premium Revenue: Reporting and Rebate Requirements
• 45 CFR 160 - General Administrative Requirements
• 45 CFR 162 - Administrative Requirements
• 45 CFR 164 - Security and Privacy
• 45 CFR 170 - Health Information Technology Standards, Implementation Specifications, and Certification Criteria and Certification Programs for Health Information Technology
• 45 CFR 171 - Information Blocking
• 45 CFR 205 - General Administration - Public Assistance Programs
• 45 CFR 233 - Coverage and Conditions of Eligibility in Financial Assistance Programs
• 45 CFR 307 - Computerized Support Enforcement Systems
• 45 CFR 1355 - General

Parts in scope

In priority order for supplemental content:

42:

• 433 - State Fiscal Administration
• 440 - Services: General Provisions
• 435 - Eligibility In The States, District Of Columbia, The Northern Mariana Islands, And American Samoa
• 430 - Grants To States For Medical Assistance Programs
• 431 - State Organization And General Administration
• 438 - Managed Care
• 455 - Program Integrity: Medicaid
• 441 - Services: Requirements and Limits Applicable to Specific Services
• 447 - Payment for Services
• 434 - Contracts
• 432 - State Personnel Administration
• 457 - Allotments and Grants to States [CHIP]
• 436 - Eligibility In Guam, Puerto Rico, And The Virgin Islands
• 456 - Utilization Control
• 460 - Programs of All-inclusive Care for the Elderly
• 400 - Introduction; Definitions [Only 400.203 is relevant to Medicaid]
• 600 - Administration, Eligibility, Essential Health Benefits, Performance Standards, Service Delivery Requirements, Premium and Cost Sharing, Allotments, and Reconciliation
• 483 - Requirements for States and Long Term Care Facilities

45:

• 45 CFR 95 - General Administration - Grant Programs (Public Assistance, Medical Assistance and State Children's Health Insurance Programs)
• 45 CFR 155 - Exchange Establishment Standards and Other Related Standards Under the Affordable Care Act
• 45 CFR 156 - Health Insurance Issuer Standards Under the Affordable Care Act, Including Standards Related to Exchanges