US · guidance
CMS Pub. 100-11, ch. 15, § 60.3
Annual Monitoring
The State Administering Agency assures that at least annually it will reevaluate whether a
participant meets the level of care required under the State Medicaid plan for coverage of
nursing facility services. The State Administering Agency understands that this
determination may be waived if there is no reasonable expectation of improvement or
significant change in the participant’s conditions because of the severity of a chronic
condition or the degree of impairment of functional capacity. The State Administering
Agency assures that it will make reviews conducted in accordance with 42 CFR §§
460.190 and 460.192 available to the public upon request.
[42 CFR §§ 460.160(b)(a), 460.196(b)]
History
(Rev. 2, Issued: 06-09-11; Effective: 06-03-11; Implementation: 06-03-11)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
5ea27809e1ceb661ce00b410ffdda9be3ee5c58f3679c5aa3d894b83aa42169c
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