Title 42

PART 438 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.

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