42 CFR Subpart L - Subpart L—Managed Care
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General Provisions (§§ 457.1200 - 457.1209)
- § 457.1200 Basis, scope, and applicability.
- § 457.1201 Standard contract requirements.
- § 457.1203 Rate development standards and medical loss ratio.
- § 457.1206 Non-emergency medical transportation PAHPs.
- § 457.1207 Information requirements.
- § 457.1208 Provider discrimination prohibited.
- § 457.1209 Requirements that apply to MCO, PIHP, PAHP, PCCM, and PCCM entity contracts involving Indians, Indian health care provider (IHCP), and Indian managed care entities (IMCE).
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State Responsibilities (§§ 457.1210 - 457.1218)
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Enrollee Rights and Protections (§§ 457.1220 - 457.1228)
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MCO, PIHP, and PAHP Standards (§§ 457.1230 - 457.1233)
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Quality Measurement and Improvement; External Quality Review (§§ 457.1240 - 457.1250)
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Grievance System (§ 457.1260)
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Sanctions (§§ 457.1270 - 457.1285)
Source:
81 FR 27897, May 6, 2016, unless otherwise noted.