Federal (United States) · Regulations
Part 438 — MANAGED CARE
103 sections
11 groups
- Subpart A — General Provisions13 sections
- Subpart B — State Responsibilities12 sections
- Subpart C — Enrollee Rights and Protections8 sections
- Subpart D — MCO, PIHP and PAHP Standards10 sections
- Subpart E — Quality Measurement and Improvement; External Quality Review14 sections
- Subpart F — Grievance and Appeal System10 sections
- Subpart G — Medicaid Managed Care Quality Rating System7 sections
- Subpart H — Additional Program Integrity Safeguards6 sections
- Subpart I — Sanctions10 sections
- Subpart J — Conditions for Federal Financial Participation (FFP)7 sections
- Subpart K — Parity in Mental Health and Substance Use Disorder Benefits6 sections