42 C.F.R. § 438.332

State review of the accreditation status of MCOs, PIHPs, and PAHPs.

Last amended: 2017Year: 2026Length: 160 wordsSubsections: 3Official source

Cite as 42 C.F.R. § 438.332 (2026)

(a) The State must require, through its contracts, that each MCO, PIHP, and PAHP inform the State whether it has been accredited by a private independent accrediting entity. (b) The State must require, through its contracts, that each MCO, PIHP, and PAHP that has received accreditation by a private independent accrediting entity must authorize the private independent accrediting entity to provide the State a copy of its most recent accreditation review, including: (1) Accreditation status, survey type, and level (as applicable); (2) Accreditation results, including recommended actions or improvements, corrective action plans, and summaries of findings; and (3) Expiration date of the accreditation. (c) The State must— (1) Make the accreditation status for each contracted MCO, PIHP, and PAHP available on the Web site required under § 438.10(c)(3), including whether each MCO, PIHP, and PAHP has been accredited and, if applicable, the name of the accrediting entity, accreditation program, and accreditation level; and (2) Update this information at least annually.
Cross-references to the CFR
438.10
42 C.F.R. § 438.332: State review of the accreditation status of MCOs, PIHPs, and PAHPs. | Justis AI