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Current as of January 02, 2025 | Updated by Findlaw Staff
(a) General rule. States must have a process for making payments consistent with the requirements in subparts A and D of this part.
(b) Reporting data consistent with this subpart. In order to receive a payment under this part, a provider must report the required data under subpart A and this subpart within the EHR reporting period described in § 495.4.
(c) State's role.
(1) Except as specified in paragraph (c)(2) of this section, the State determines the provider's eligibility for the EHR incentive payment under subparts A and D of this part and approves, processes, and makes timely payments using a process approved by CMS.
(2) At the State's option, CMS conducts the audits and handles any subsequent appeals, of whether eligible hospitals are meaningful EHR users on the States' behalf.
(d) State disbursement. The State disburses an incentive payment to the provider based on the criteria described in subpart A and this subpart.
(e) Timeframes. Payments are disbursed consistent with the following timeframes for each type of Medicaid eligible provider:
(1) Medicaid EPs. States disburse payments consistent with the calendar year on a rolling basis following verification of eligibility for the payment year.
(2) Medicaid eligible hospitals. States disburse payments consistent with the Federal fiscal year on a rolling basis following verification of eligibility for the payment year.
Cite this article: FindLaw.com - Code of Federal Regulations Title 42. Public Health § 42.495.312 Process for payments - last updated January 02, 2025 | https://codes.findlaw.com/cfr/title-42-public-health/cfr-sect-42-495-312/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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