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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 B - State Responsibilities |
| § 438.50 - State Plan requirements. |
| § 438.52 - Choice of MCOs, PIHPs, PAHPs, PCCMs, and PCCM entities. |
| § 438.54 - Managed care enrollment. |
| § 438.56 - Disenrollment: Requirements and limitations. |
| § 438.58 - Conflict of interest safeguards. |
| § 438.60 - Prohibition of additional payments for services covered under MCO, PIHP or PAHP contracts. |
| § 438.62 - Continued services to enrollees. |
| § 438.66 - State monitoring requirements. |
| § 438.68 - Network adequacy standards. |
| § 438.70 - Stakeholder engagement when LTSS is delivered through a managed care program. |
| § 438.71 - Beneficiary support system. |
| § 438.72 - Additional requirements for long-term services and supports. |
| § 438.74 - State oversight of the minimum MLR requirement. |