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Title 42
PART 438 SUBPART B
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Chapter IV
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Subchapter C
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Part 438
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Subpart B
Subpart B - State Responsibilities
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.
42:4.0.1.1.8.2.100.1
SECTION 438.50
438.50 State Plan requirements.
42:4.0.1.1.8.2.100.2
SECTION 438.52
438.52 Choice of MCOs, PIHPs, PAHPs, PCCMs, and PCCM entities.
42:4.0.1.1.8.2.100.3
SECTION 438.54
438.54 Managed care enrollment.
42:4.0.1.1.8.2.100.4
SECTION 438.56
438.56 Disenrollment: Requirements and limitations.
42:4.0.1.1.8.2.100.5
SECTION 438.58
438.58 Conflict of interest safeguards.
42:4.0.1.1.8.2.100.6
SECTION 438.60
438.60 Prohibition of additional payments for services covered under MCO, PIHP or PAHP contracts.
42:4.0.1.1.8.2.100.7
SECTION 438.62
438.62 Continued services to enrollees.
42:4.0.1.1.8.2.100.8
SECTION 438.66
438.66 State monitoring requirements.
42:4.0.1.1.8.2.100.9
SECTION 438.68
438.68 Network adequacy standards.
42:4.0.1.1.8.2.100.10
SECTION 438.70
438.70 Stakeholder engagement when LTSS is delivered through a managed care program.
42:4.0.1.1.8.2.100.11
SECTION 438.71
438.71 Beneficiary support system.
42:4.0.1.1.8.2.100.12
SECTION 438.74
438.74 State oversight of the minimum MLR requirement.