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).