MCO

Managed care organization (MCO) means an entity that has, or is seeking to qualify for, a comprehensive risk contract under this part, and that is -
(1) A Federally qualified HMO that meets the requirements of subpart I of part 489 of this chapter; or
(2) Makes the services it provides to its CHIP enrollees as accessible (in terms of timeliness, amount, duration, and scope) as those services are to other CHIP beneficiaries within the area served by the entity and
(3) Meets the solvency standards of ยง 438.116 of this chapter.

Source

42 CFR § 457.10


Scoping language

For purposes of this part the following definitions apply:

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