Federal (United States) · Regulations
Subpart A — General Provisions
13 sections
13 sections
- 42 C.F.R. § 438.1Basis and scope.
- 42 C.F.R. § 438.2Definitions.
- 42 C.F.R. § 438.3Standard contract requirements.
- 42 C.F.R. § 438.4Actuarial soundness.
- 42 C.F.R. § 438.5Rate development standards.
- 42 C.F.R. § 438.6Special contract provisions related to payment.
- 42 C.F.R. § 438.7Rate certification submission.
- 42 C.F.R. § 438.8Medical loss ratio (MLR) standards.
- 42 C.F.R. § 438.9Provisions that apply to non-emergency medical transportation PAHPs.
- 42 C.F.R. § 438.10Information requirements.
- 42 C.F.R. § 438.12Provider discrimination prohibited.
- 42 C.F.R. § 438.14Requirements that apply to MCO, PIHP, PAHP, PCCM, and PCCM entity contracts involving Indians, Indian health care providers (IHCPs), and Indian managed care entities (IMCEs).
- 42 C.F.R. § 438.16In lieu of services and settings (ILOS) requirements.