Title 42

PART 438 SUBPART B

Subpart B - State Responsibilities Source:81 FR 27853, May 6, 2016, unless otherwise noted.

42:4.0.1.1.8.2.100.1SECTION 438.50
   438.50 State Plan requirements.
42:4.0.1.1.8.2.100.2SECTION 438.52
   438.52 Choice of MCOs, PIHPs, PAHPs, PCCMs, and PCCM entities.
42:4.0.1.1.8.2.100.3SECTION 438.54
   438.54 Managed care enrollment.
42:4.0.1.1.8.2.100.4SECTION 438.56
   438.56 Disenrollment: Requirements and limitations.
42:4.0.1.1.8.2.100.5SECTION 438.58
   438.58 Conflict of interest safeguards.
42:4.0.1.1.8.2.100.6SECTION 438.60
   438.60 Prohibition of additional payments for services covered under MCO, PIHP or PAHP contracts.
42:4.0.1.1.8.2.100.7SECTION 438.62
   438.62 Continued services to enrollees.
42:4.0.1.1.8.2.100.8SECTION 438.66
   438.66 State monitoring requirements.
42:4.0.1.1.8.2.100.9SECTION 438.68
   438.68 Network adequacy standards.
42:4.0.1.1.8.2.100.10SECTION 438.70
   438.70 Stakeholder engagement when LTSS is delivered through a managed care program.
42:4.0.1.1.8.2.100.11SECTION 438.71
   438.71 Beneficiary support system.
42:4.0.1.1.8.2.100.12SECTION 438.74
   438.74 State oversight of the minimum MLR requirement.