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Code of Federal Regulations (Last Updated: November 8, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter C - Medical Assistance Programs |
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Part 438 - Managed Care |
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Subpart A - General Provisions |
| § 438.1 - Basis and scope. |
| § 438.2 - Definitions. |
| § 438.3 - Standard contract requirements. |
| § 438.4 - Actuarial soundness. |
| § 438.5 - Rate development standards. |
| § 438.6 - Special contract provisions related to payment. |
| § 438.7 - Rate certification submission. |
| § 438.8 - Medical loss ratio (MLR) standards. |
| § 438.9 - Provisions that apply to non-emergency medical transportation PAHPs. |
| § 438.10 - Information requirements. |
| § 438.12 - Provider discrimination prohibited. |
| § 438.14 - Requirements that apply to MCO, PIHP, PAHP, PCCM, and PCCM entity contracts involving Indians, Indian health care providers (IHCPs), and Indian managed care entities (IMCEs). |
| § 438.16 - In lieu of services and settings (ILOS) requirements. |