US lawFederal (United States)RegulationsTitle 42 CFR — Public HealthChapter IV — CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICESPart 441 — SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC SERVICESSubpart D — Inpatient Psychiatric Services for Individuals Under Age 21 in Psychiatric Facilities or Programs441.18042 C.F.R. § 441.180Maintenance of effort: General rule.Last amended: 2017Year: 2026Length: 15 wordsOfficial source Cite as 42 C.F.R. § 441.180 (2026)FFP is available only if the State maintains fiscal effort as prescribed under this subpart.Previous42 C.F.R. § 441.156Next42 C.F.R. § 441.181