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State Responsibilities | Midpage
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Code of Federal Regulations
Title 42
Chapter IV
Subchapter C
Part 438
Subpart B
State Responsibilities
438.50
State Plan requirements.
438.52
Choice of MCOs, PIHPs, PAHPs, PCCMs, and PCCM entities.
438.54
Managed care enrollment.
438.56
Disenrollment: Requirements and limitations.
438.58
Conflict of interest safeguards.
438.60
Prohibition of additional payments for services covered under MCO, PIHP or PAHP contracts.
438.62
Continued services to enrollees.
438.66
State monitoring requirements.
438.68
Network adequacy standards.
438.70
Stakeholder engagement when LTSS is delivered through a managed care program.
438.71
Beneficiary support system.
438.72
Additional requirements for long-term services and supports.
438.74
State oversight of the minimum MLR requirement.