§ 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
§ 438.74 State oversight of the minimum MLR requirement

Terms Used In CFR > Title 42 > Chapter IV > Subchapter C > Part 438 > Subpart B - State Responsibilities

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Statute: A law passed by a legislature.