Opinion ID: 777287
Heading Depth: 3
Heading Rank: 1

Heading: Single state agency requirement

Text: 12 Among the requirements that the Medicaid Act established for state programs, 42 U.S.C. § 1396a(a)(5) mandates that a participating State provide for the establishment or designation of a single State agency to administer or to supervise the administration of the [State's] plan. HHS' regulations interpret this requirement as follows: 13 [] Authority of the single State agency. In order for an agency to qualify as the Medicaid agency — 14 (1) The agency must not delegate, to other than its own officials, authority to — (i) Exercise administrative discretion in the administration or supervision of the plan, or 15 (ii) Issue policies, rules, and regulations on program matters. 16 (2) The authority of the agency must not be impaired if any of its rules, regulations, or decisions are subject to review, clearance, or similar action by other offices or agencies of the State. 17 (3) If other State or local agencies or offices perform services for the Medicaid agency, they must not have the authority to change or disapprove any administrative decision of that agency, or otherwise substitute their judgment for that of the Medicaid agency with respect to the application of policies, rules, and regulations issued by the Medicaid agency. 18 42 C.F.R. § 431.10(e). 19