{"data":{"id":"us/42-cfr-434.2","jurisdiction":"us","citation":"42 CFR 434.2","heading":"Definitions.","body":"As used in this part, unless the context indicates otherwise—\nFiscal agent means an entity that processes or pays vendor claims for the agency.\nHealth care projects grant center means an entity that—\n(a) Is supported in whole or in part by Federal project grant financial assistance; and\n(b) Provides or arranges for medical services to beneficiaries.\nPrivate nonmedical institution means an institution (such as a child-care facility or a maternity home) that—\n(a) Is not, as a matter of regular business, a health insuring organization or a community health care center;\n(b) Provides medical care to its residents through contracts or other arrangements with medical providers; and\n(c) Receives capitation payments from the Medicaid agency, under a nonrisk contract, for its residents who are eligible for Medicaid.\nProfessional management service or consultant firm means a firm that performs management services such as auditing or staff training, or carries out studies or provides consultation aimed at improving State Medicaid operations, for example, with respect to reimbursement formulas or accounting systems.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS","PART 434—CONTRACTS","Subpart A—General Provisions"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"b02bee1c007438a0adca065fd67d133f3f6a96e00ecc7b117b7a07142d8305cd","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-434.1","next":"us/42-cfr-434.4"},"notice":"GroundRules: Original legal text. Not legal advice."}
