§ 438.206 Availability of services
§ 438.207 Assurances of adequate capacity and services
§ 438.208 Coordination and continuity of care
§ 438.210 Coverage and authorization of services
§ 438.214 Provider selection
§ 438.224 Confidentiality
§ 438.228 Grievance and appeal systems
§ 438.230 Subcontractual relationships and delegation
§ 438.236 Practice guidelines
§ 438.242 Health information systems

Terms Used In CFR > Title 42 > Chapter IV > Subchapter C > Part 438 > Subpart D - McO, Pihp and Pahp Standards

  • 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
  • Contract: A legal written agreement that becomes binding when signed.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fraud: Intentional deception resulting in injury to another.
  • Oversight: Committee review of the activities of a Federal agency or program.