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N.Y. Comp. Codes R. & Regs. tit. 18, § 360-10.2 – Scope. | Midpage
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Article 2
Part 360
Subpart 360-10 Medicaid Managed Care Programs
§ 360-10.2
N.Y. Comp. Codes R. & Regs. tit. 18, § 360-10.2
Scope.
Department of Social Services
(a) individuals required to enroll in an MMCO;
(b) individuals exempt or excluded from enrollment in an MMCO;
(c) good cause reasons for permitting an enrollee to change or disenroll from an MMCO;
(d) good cause reasons for permitting an enrollee to change primary care providers (PCPs);
(e) the fair hearing rights for managed care enrollees;
(f) marketing/outreach requirements for MMCOs;
(g) MMCO unacceptable practices;
(h) MMCO sanctions and due process.
This Subpart describes: