Subpart L. Managed Care
- SECTION § 457.1200 - Basis, scope, and applicability.
- SECTION § 457.1201 - Standard contract requirements.
- SECTION § 457.1203 - Rate development standards and medical loss ratio.
- SECTION § 457.1206 - Non-emergency medical transportation PAHPs.
- SECTION § 457.1207 - Information requirements.
- SECTION § 457.1208 - Provider discrimination prohibited.
- SECTION § 457.1209 - Requirements that apply to MCO, PIHP, PAHP, PCCM, and PCCM entity contracts involving Indians, Indian health care provider (IHCP), and Indian managed care entities (IMCE).
Enrollee Rights and Protections
MCO, PIHP, and PAHP Standards
Quality Measurement and Improvement; External Quality Review