42 C.F.R. § 430.45
Reduction of Federal Medicaid payments.
Cite as 42 C.F.R. § 430.45 (2026)
(a)
Methods of reduction.
CMS may reduce Medicaid payments to a State as required under the Act by reducing—
(1) The Federal Medical Assistance Percentage;
(2) The amount of State expenditures subject to FFP;
(3) The rates of FFP; or
(4) The amount otherwise payable to the State.
(b)
Right to reconsideration.
A state that receives written final notice of a reduction under paragraph (a) of this section has a right to reconsideration. The provisions of § 430.42 (b) and (c) apply.
(c)
Other applicable rules.
Other rules regarding reduction of Medicaid payments are set forth in parts 433 and 447 of this chapter.
- Cross-references to the CFR
- 430.42