Subpart 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.