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  1. LII
  2. Electronic Code of Federal Regulations (e-CFR)
  3. Title 42 - Public Health
  4. CHAPTER IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  5. SUBCHAPTER C - MEDICAL ASSISTANCE PROGRAMS
  6. PART 438 - MANAGED CARE
  7. Subpart A - General Provisions

42 CFR Subpart A - General Provisions

  • CFR
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  1. § 438.1 Basis and scope.
  2. § 438.2 Definitions.
  3. § 438.3 Standard contract requirements.
  4. § 438.4 Actuarial soundness.
  5. § 438.5 Rate development standards.
  6. § 438.6 Special contract provisions related to payment.
  7. § 438.7 Rate certification submission.
  8. § 438.8 Medical loss ratio (MLR) standards.
  9. § 438.9 Provisions that apply to non-emergency medical transportation PAHPs.
  10. § 438.10 Information requirements.
  11. § 438.12 Provider discrimination prohibited.
  12. § 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).
Source:
81 FR 27853, May 6, 2016, unless otherwise noted.

The following state regulations pages link to this page.



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