U.S. Code of Federal Regulations

Regulations most recently checked for updates: Aug 27, 2025

All TitlesTitle 42Chapter IVPart 438Subpart A - 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.
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