U.S. Code of Federal Regulations

Regulations most recently checked for updates: Aug 28, 2025

All TitlesTitle 42Chapter IVPart 438Subpart B - 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.
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