Medicaid program; reduction in error rate tolerance; Medicaid quality control program--HCFA. Final rule.

Abstract

This final rule revises current Medicaid regulations by establishing new regulations concerning the disallowance of Federal financial participation to States whose eligibility payment error rate for Medicaid, as measured by the Medicaid quality control system, exceeds the 3-percent tolerance level. Specifically, this rule provides that the current regulations regarding the method of projecting anticipated error rates apply only to the period April 1, 1983 through December 31, 1983. This rule also establishes new regulations that apply to periods beginning January 1, 1984. These modifications to the regulations are based on and implement the provisions of section 133 of the Tax Equity and Fiscal Responsibility Act of 1982 (Pub. L. 97-248), which enacted section 1903(u) of the Social Security Act.