42 CFR 431.800
§ 431.800 Basis and scope.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 431.800, § 431.800 Basis and scope, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/205676
- Permanent ID
ys:prov:205676@1- SHA-256
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Full text
This subpart establishes State requirements for the Medicaid Eligibility Quality Control (MEQC) Program designed to reduce erroneous expenditures by monitoring eligibility determinations and a claims processing assessment that monitors claims processing operations. MEQC will work in conjunction with the Payment Error Rate Measurement (PERM) Program established in subpart Q of this part. In years in which the State is required to participate in PERM, as stated in subpart Q of this part, it will only participate in the PERM program and will not be required to conduct a MEQC pilot. In the 2 years between PERM cycles, the State is required to conduct a MEQC pilot, as set forth in this subpart.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.