Subpart P. Subpart P—Quality Control

• Medicaid Eligibility Quality Control (MEQC) Program

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

• Medicaid Quality Control (MQC) Claims Processing Assessment System

  • SECTION § 431.830 - Basic elements of the Medicaid quality control (MQC) claims processing assessment system.
  • SECTION § 431.832 - Reporting requirements for claims processing assessment systems.
  • SECTION § 431.834 - Access to records: Claims processing assessment systems.
  • SECTION § 431.836 - Corrective action under the MQC claims processing assessment system.