STATE PLAN FOR MEDICAID AND CHILDREN'S HEALTH INSURANCE PROGRAM

Section 422.270 - Duties of Department regarding Medicaid and Children's Health Insurance Program
Section 422.2701 - Discrimination by Department on basis of actual or perceived gender identity or expression prohibited
Section 422.2703 - Department required to establish and maintain system for electronic submission of applications for Medicaid or Children's Health Insurance Program
Section 422.2704 - Review of and recommendations concerning rates of reimbursement
Section 422.2712 - Reporting of certain rates of reimbursement for physicians
Section 422.2717 - State Plan for Medicaid: Inclusion of requirement that independent foster care adolescents are eligible for Medicaid
Section 422.271705 - State Plan for Medicaid: Inclusion of requirement concerning monthly personal needs allowance for institutionalized persons who reside in facility for skilled nursing
Section 422.27171 - State Plan for Medicaid: Inclusion of authorization for pregnant women determined to be presumptively eligible for Medicaid to enroll in Medicaid for prescribed period without submitting application for enrollment which includes additional proof of eligibility; inclusion of authorization for pregnant women with certain household incomes to enroll in Medicaid; prohibition against inclusion of residency period requirement for enrollment in Medicaid by certain pregnant women
Section 422.27172 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs related to family planning; reimbursement of pharmacist for certain family planning services
Section 422.27173 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for testing for and treatment and prevention of sexually transmitted diseases and condoms
Section 422.27174 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for preventative care
Section 422.27175 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for screening, genetic counseling and testing for harmful mutations in the BRCA gene for women
Section 422.27176 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for mammogram
Section 422.27177 - State Plan for Medicaid: Inclusion of coverage for doula services provided by enrolled doula; application for waiver or amendment related to doula services; requirements for enrollment as doula; program to provide incentive payments for enrolled doulas
Section 422.271775 - State Plan for Medicaid: Inclusion of requirement for payment of costs incurred for postpartum care services
Section 422.27178 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for breastfeeding supplies and prenatal screenings and tests
Section 422.27179 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for breastfeeding supplies for certain period, prenatal screenings and tests and lactation consultation and support
Section 422.2718 - State Plan for Medicaid: Inclusion of requirement for payment of certain expenses related to testing for human papillomavirus and administration of human papillomavirus vaccine
Section 422.2719 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs related to fetal alcohol spectrum disorders
Section 422.272 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for medical, administrative and transactional costs of certain persons admitted to certain medical facilities for more than 30 days
Section 422.27205 - State Plan for Medicaid: Inclusion of requirement for payment of costs for certain services provided by critical access hospitals
Section 422.2721 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for services provided through telehealth; inclusion of prohibition against certain practices related to such services
Section 422.2722 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for services provided by community health worker
Section 422.2723 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs related to dialysis and emergency care to treat kidney failure
Section 422.27234 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs related to sickle cell disease and its variants
Section 422.27235 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs related to testing for, preventing or treating human immunodeficiency virus or hepatitis C
Section 422.27236 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for cognitive assessment and care planning services for persons who experience signs or symptoms of cognitive impairment
Section 422.272362 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs related to gender dysphoria and gender incongruence
Section 422.272364 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for biomarker testing
Section 422.272366 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for behavioral health services
Section 422.272368 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for treatment of substance use disorder provided by provider of primary care
Section 422.27237 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for services of pharmacist; rate of reimbursement
Section 422.27238 - State Plan for Medicaid: Reimbursement for crisis stabilization services
Section 422.27239 - State Plan for Medicaid: Reimbursement of supervising psychologist for services of psychological assistant, psychological intern or psychological trainee
Section 422.2724 - State Plan for Medicaid: Reimbursement of registered nurse for certain services provided to persons eligible for Medicaid
Section 422.272405 - State Plan for Medicaid: Reimbursement for services provided by advanced practice registered nurse to certain recipients
Section 422.272407 - State Plan for Medicaid: Reimbursement of recipients for personal care services
Section 422.27241 - State Plan for Medicaid: Reimbursement for services for hospice care provided to persons eligible for Medicaid
Section 422.27242 - State Plan for Medicaid and Children's Health Insurance Program: Inclusion of authorization for enrollment of certain children; authority to reduce or eliminate available benefits
Section 422.272422 - Medicaid: Inclusion of coverage for certain dental care; application for waiver or amendment
Section 422.272424 - Medicaid: Inclusion of coverage for polycarbonate lenses; application for waiver or amendment
Section 422.272428 - Medicaid: Inclusion of coverage for limited services for certain persons before scheduled release from incarceration; application for waiver
Section 422.27243 - Program to provide medical assistance to certain persons who are employed and have disabilities
Section 422.27247 - Application for federal waiver to provide certain dental care for certain persons
Section 422.27248 - Application for federal waiver authorizing Department to receive federal funding for coverage for certain treatment for person in institution for mental diseases
Section 422.27249 - Application for federal waiver to increase rates of reimbursement for rural emergency hospital services
Section 422.273 - [Effective Until 1/1/2026] Establishment, development and implementation of Medicaid managed care program
Section 422.273 - [Effective 1/1/2026] Establishment, development and implementation of statewide Medicaid managed care program; statewide procurement process to select health maintenance organizations to provide services
Section 422.2734 - Plan to ensure provision of behavioral health services by certain managed care organizations in culturally competent manner: Preparation; contents; implementation; review; additional duties
Section 422.2735 - [Effective on the date that a program to provide increased capitation payments to governmental providers for ground emergency medical transportation services established pursuant to this section is approved by the Centers for Medicare and Medicaid Services] Program to provide increased capitation payments to Medicaid managed care plans for ground emergency medical transportation services provided by governmental provider
Section 422.2748 - Cooperation with Medicaid Fraud Control Unit
Section 422.27482 - Report concerning provision of health benefits by large employers
Section 422.27485 - Enrollment of eligible Indian children in Children's Health Insurance Program: Duty of Department to seek assistance of and cooperate with Indian tribes; immediate action required; certain contracts for provision of services required
Section 422.27487 - Eligibility for and coverage under Medicaid for persons who are incarcerated and persons released from incarceration; regulations
Section 422.2749 - Custody, use, preservation and confidentiality of records, files and communications concerning applicants for and recipients of public assistance or assistance pursuant to Children's Health Insurance Program; regulations
Section 422.27495 - Contracts for provision of certain transportation services for recipients of Medicaid and recipients of services pursuant to Children's Health Insurance Program; regulations
Section 422.27497 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs for services provided by behavior analysts, assistant behavior analysts and registered behavior technicians; establishment of certain rates of reimbursement and limitations on hours for provision of such services; reporting of certain information concerning services provided to recipients of Medicaid diagnosed with autism spectrum disorder