Subpart A—General Provisions
Sections
Section numbering in the official eCFR can be non-consecutive. Omitted section numbers are not treated here as reserved unless the source explicitly labels them that way.
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438.1
§ 438.1 Basis and scope. -
438.2
§ 438.2 Definitions. -
438.3
§ 438.3 Standard contract requirements. -
438.4
§ 438.4 Actuarial soundness. -
438.5
§ 438.5 Rate development standards. -
438.6
§ 438.6 Special contract provisions related to payment. -
438.7
§ 438.7 Rate certification submission. -
438.8
§ 438.8 Medical loss ratio (MLR) standards. -
438.9
§ 438.9 Provisions that apply to non-emergency medical transportation PAHPs. -
438.10
§ 438.10 Information requirements. -
438.12
§ 438.12 Provider discrimination prohibited. -
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). -
438.16
§ 438.16 In lieu of services and settings (ILOS) requirements.