U.S. Code of Federal Regulations

Regulations most recently checked for updates: Aug 27, 2025

All TitlesTitle 42Chapter IVPart 431Subpart P - Subpart P—Quality Control

MEDICAID ELIGIBILITY QUALITY CONTROL (MEQC) PROGRAM
§ 431.800 - Basis and scope.
§ 431.804 - Definitions.
§ 431.806 - State requirements.
§ 431.808 - Protection of beneficiary rights.
§ 431.810 - Basic elements of the Medicaid Eligibility Quality Control (MEQC) Program.
§ 431.812 - Review procedures.
§ 431.814 - Pilot planning document.
§ 431.816 - Case review completion deadlines and submittal of reports.
§ 431.818 - Access to records.
§ 431.820 - Corrective action under the MEQC program.

MEDICAID QUALITY CONTROL (MQC) CLAIMS PROCESSING ASSESSMENT SYSTEM
§ 431.830 - Basic elements of the Medicaid quality control (MQC) claims processing assessment system.
§ 431.832 - Reporting requirements for claims processing assessment systems.
§ 431.834 - Access to records: Claims processing assessment systems.
§ 431.836 - Corrective action under the MQC claims processing assessment system.
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