Title 42

PART 438 SUBPART A

Subpart A - General Provisions Source:81 FR 27853, May 6, 2016, unless otherwise noted.

• 42 U.S.C. 1302.
• Source: 67 FR 41095, June 14, 2002, unless otherwise noted.

42:4.0.1.1.8.1.100.1	SECTION 438.1	438.1 Basis and scope.
42:4.0.1.1.8.1.100.2	SECTION 438.2	438.2 Definitions.
42:4.0.1.1.8.1.100.3	SECTION 438.3	438.3 Standard contract requirements.
42:4.0.1.1.8.1.100.4	SECTION 438.4	438.4 Actuarial soundness.
42:4.0.1.1.8.1.100.5	SECTION 438.5	438.5 Rate development standards.
42:4.0.1.1.8.1.100.6	SECTION 438.6	438.6 Special contract provisions related to payment.
42:4.0.1.1.8.1.100.7	SECTION 438.7	438.7 Rate certification submission.
42:4.0.1.1.8.1.100.8	SECTION 438.8	438.8 Medical loss ratio (MLR) standards.
42:4.0.1.1.8.1.100.9	SECTION 438.9	438.9 Provisions that apply to non-emergency medical transportation PAHPs.
42:4.0.1.1.8.1.100.10	SECTION 438.10	438.10 Information requirements.
42:4.0.1.1.8.1.100.11	SECTION 438.12	438.12 Provider discrimination prohibited.
42:4.0.1.1.8.1.100.12	SECTION 438.14	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).

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