Federal (United States) · Regulations
Subpart L — Managed Care
25 sections
25 sections
- 42 C.F.R. § 457.1200Basis, scope, and applicability.
- 42 C.F.R. § 457.1201Standard contract requirements.
- 42 C.F.R. § 457.1203Rate development standards and medical loss ratio.
- 42 C.F.R. § 457.1206Non-emergency medical transportation PAHPs.
- 42 C.F.R. § 457.1207Information requirements.
- 42 C.F.R. § 457.1208Provider discrimination prohibited.
- 42 C.F.R. § 457.1209Requirements that apply to MCO, PIHP, PAHP, PCCM, and PCCM entity contracts involving Indians, Indian health care provider (IHCP), and Indian managed care entities (IMCE).
- 42 C.F.R. § 457.1210Enrollment process.
- 42 C.F.R. § 457.1212Disenrollment.
- 42 C.F.R. § 457.1214Conflict of interest safeguards.
- 42 C.F.R. § 457.1216Continued services to enrollees.
- 42 C.F.R. § 457.1218Network adequacy standards.
- 42 C.F.R. § 457.1220Enrollee rights.
- 42 C.F.R. § 457.1222Provider-enrollee communication.
- 42 C.F.R. § 457.1224Marketing activities.
- 42 C.F.R. § 457.1226Liability for payment.
- 42 C.F.R. § 457.1228Emergency and poststabilization services.
- 42 C.F.R. § 457.1230Access standards.
- 42 C.F.R. § 457.1233Structure and operation standards.
- 42 C.F.R. § 457.1240Quality measurement and improvement.
- 42 C.F.R. § 457.1250External quality review.
- 42 C.F.R. § 457.1260Grievance system.
- 42 C.F.R. § 457.1270Sanctions.
- 42 C.F.R. § 457.1280Conditions necessary to contract as an MCO, PAHP, or PIHP.
- 42 C.F.R. § 457.1285Program integrity safeguards.