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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 B. State Responsibilities

42 CFR Subpart B - State Responsibilities

  • CFR
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  1. § 438.50 State Plan requirements.
  2. § 438.52 Choice of MCOs, PIHPs, PAHPs, PCCMs, and PCCM entities.
  3. § 438.54 Managed care enrollment.
  4. § 438.56 Disenrollment: Requirements and limitations.
  5. § 438.58 Conflict of interest safeguards.
  6. § 438.60 Prohibition of additional payments for services covered under MCO, PIHP or PAHP contracts.
  7. § 438.62 Continued services to enrollees.
  8. § 438.66 State monitoring requirements.
  9. § 438.68 Network adequacy standards.
  10. § 438.70 Stakeholder engagement when LTSS is delivered through a managed care program.
  11. § 438.71 Beneficiary support system.
  12. § 438.74 State oversight of the minimum MLR requirement.
Source:
81 FR 27853, May 6, 2016, unless otherwise noted.

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