Source: https://ecfr.io/Title-42/se42.4.440_1170
Timestamp: 2020-07-05 13:48:31
Document Index: 315009048

Matched Legal Cases: ['§ 440', '§ 440', '§ 431', '§ 431', '§ 440', '§ 440', '§ 411', '§ 411', '§ 412', '§ 440', '§ 440']

42 CFR § 440.170 Any other medical care or remedial care recognized under State law and specified by the Secretary - Code of Federal Regulations ';
SECTION 440.170
440.170 Any other medical care or remedial care recognized under State law and specified by the Secretary.
§ 440.170 Any other medical care or remedial care recognized under State law and specified by the Secretary.
(3) “Travel expenses” include -
(4) Non-emergency medical transportation brokerage program. At the option of the State, and notwithstanding § 431.50 (statewide operation) and § 431.51 (freedom of choice of providers) of this chapter and § 440.240 (comparability of services for groups), a State plan may provide for the establishment of a non-emergency medical transportation brokerage program in order to more cost-effectively provide non-emergency medical transportation services for individuals eligible for medical assistance under the State plan who need access to medical care or services, and have no other means of transportation. These transportation services include wheelchair vans, taxis, stretcher cars, bus passes and tickets, secured transportation containing an occupant protection system that addresses safety needs of disabled or special needs individuals, and other forms of transportation otherwise covered under the state plan.
(D) Is subject to a written contract that imposes the requirements related to prohibitions on referrals and conflicts of interest described at § 440.170(a)(4)(ii), and provides for the broker to be liable for the full cost of services resulting from a prohibited referral or subcontract.
(1) The broker has a financial relationship with the transportation provider as defined at § 411.354(a) of this chapter with “transportation broker” substituted for “physician” and “non-emergency transportation” substituted for “DHS”; or
(2) The broker has an immediate family member, as defined at § 411.351 of this chapter, that has a direct or indirect financial relationship with the transportation provider, with the term “transportation broker” substituted for “physician.”
(1) Transportation is provided in a rural area, as defined at § 412.62(f), and there is no other available Medicaid participating provider or other provider determined by the State to be qualified except the non-governmental broker.
(d) Skilled nursing facility services for individuals under age 21. “Skilled nursing facility services for individuals under 21” means those services specified in § 440.40 that are provided to beneficiaries under 21 years of age.
(e) Emergency hospital services. “Emergency hospital services” means services that -
(2) Because of the threat to the life or health of the beneficiary necessitate the use of the most accessible hospital available that is equipped to furnish the services, even if the hospital does not currently meet -
(ii) The definitions of inpatient or outpatient hospital services under §§ 440.10 and 440.20.