Current through November 30, 2024
Section 431.810 - Basic elements of the Medicaid Eligibility Quality Control (MEQC) Program(a)General requirements. The State must operate the MEQC pilot in accordance with this section and §§ 431.812 through 431.820 , as well as other instructions established by CMS.(b)Review requirements. The State must conduct reviews for the MEQC pilot in accordance with the requirements specified in § 431.812 and other instructions established by CMS.(c)Pilot planning requirements. The State must develop a MEQC pilot planning proposal in accordance with requirements specified in § 431.814 and other instructions established by CMS.(d)Reporting requirements. The State must report the finding of the MEQC pilots in accordance with the requirements specified in § 431.816 and other instructions established by CMS.(e)Corrective action requirements. The State must conduct corrective actions based on the findings of the MEQC pilots in accordance with the requirements specified in § 431.820 and other instructions established by CMS. 82 FR 31183 , July 5, 2017