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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 D - MCO, PIHP and PAHP Standards |
| § 438.200 - Scope. |
| § 438.202 - State responsibilities. |
| § 438.204 - Elements of State quality strategies. |
| § 438.206 - Availability of services. |
| § 438.207 - Assurances of adequate capacity and services. |
| § 438.208 - Coordination and continuity of care. |
| § 438.210 - Coverage and authorization of services. |
| § 438.214 - Provider selection. |
| § 438.224 - Confidentiality. |
| § 438.228 - Grievance and appeal systems. |
| § 438.230 - Subcontractual relationships and delegation. |
| § 438.236 - Practice guidelines. |
| § 438.242 - Health information systems. |
| Access Standards |
| Measurement and Improvement Standards |
| § 438.240 - Quality assessment and performance improvement program. |
| Structure and Operation Standards |
| § 438.218 - Enrollee information. |
| § 438.226 - Enrollment and disenrollment. |