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General Provisions | Midpage
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Code of Federal Regulations
Title 42
Chapter IV
Subchapter C
Part 438
Subpart A
General Provisions
438.1
Basis and scope.
438.2
Definitions.
438.3
Standard contract requirements.
438.4
Actuarial soundness.
438.5
Rate development standards.
438.6
Special contract provisions related to payment.
438.7
Rate certification submission.
438.8
Medical loss ratio (MLR) standards.
438.9
Provisions that apply to non-emergency medical transportation PAHPs.
438.10
Information requirements.
438.12
Provider discrimination prohibited.
438.14
Requirements that apply to MCO, PIHP, PAHP, PCCM, and PCCM entity contracts involving Indians, Indian health care providers (IHCPs), and Indian managed care entities (IMCEs).
438.16
In lieu of services and settings (ILOS) requirements.