WebLearn how 19 CFR affects you by gaining sound knowledge of the Code of Federal Regulations and the Customs Import and Export Regulations in the US. ... July 1, 2024. Until that applicability date, states are required to continue to comply with § 438.230 contained in the 42 CFR parts 430 to 481, edition revised as of October 1, 2015 ... WebElectronic Code of Federal Regulations (e-CFR) Title 42 - Public Health; CHAPTER IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES; SUBCHAPTER C - MEDICAL ASSISTANCE PROGRAMS; PART 438 - MANAGED CARE; Subpart A - General Provisions § 438.12 Provider discrimination … convoy s3 vs s2+ WebUntil that applicability date, states are required to continue to comply with § 438.230 contained in the 42 CFR parts 430 to 481, edition revised as of October 1, 2015. AUTHORITY: 42 U.S.C. 1302. SOURCE: 67 FR 41095, June 14, 2002, unless otherwise noted. CITE AS: 42 CFR 438.230 Web§438.1 42 CFR Ch. IV (10–1–11 Edition) 438.420 Continuation of benefits while the MCO or PIHP appeal and the State fair hearing are pending. 438.424 Effectuation of reversed appeal reso-lutions. Subpart G [Reserved] Subpart H—Certifications and Program Integrity 438.600 Statutory basis. 438.602 Basic rule. 438.604 Data that must be ... convoy sc 156 WebThis section applies to the rating period for contracts with MCOs, PIHPs, PAHPs, and PCCM entities beginning on or after July 1, 2024. Until that applicability date, states are required … Web42 CFR 438.230(b)(1) Attachment II, X.C.1.a. X.C.1.e. The Managed Care Plan shall maintain ultimate responsibility for adhering to and otherwise fully complying with all terms and conditions of this Contract, including performance of duties. All tasks related to the subcontract are to be performed in accordance with the terms convoy sc 107 WebThis section applies to the rating period for contracts with MCOs, PIHPs, PAHPs, PCCMs, and PCCM entities beginning on or after July 1, 2024. Until that applicability date, states …

WebView all text of Subpart D [§ 438.206 - § 438.242] § 438.230 - Subcontractual relationships and delegation. (a) Applicability. The requirements of this section apply to any contract or … convoy sc 118 Web438.602 State responsibilities. § 438.602 State responsibilities. (a) Monitoring contractor compliance. Consistent with § 438.66, the State must monitor the MCO's, PIHP's, PAHP's, PCCM's or PCCM entity's compliance, as applicable, with §§ 438.604, 438.606, 438.608, 438.610, 438.230, and 438.808. (b) Screening and enrollment and revalidation ... Web§438.230 42 CFR Ch. IV (10–1–02 Edition) chapter, the State must conduct ran-dom reviews of each delegated MCO or PIHP and its providers and subcontrac-tors to ensure … convoy sbt90.2 WebJan 23, 2024 · Until that applicability date, states are required to continue to comply with § 438.230 contained in the 42 CFR parts 430 to 481, edition revised as of October 1, 2015. § 438.236 - Practice guidelines. (a) Basic rule. WebNov 13, 2024 · Until that applicability date, states are required to continue to comply with § 438.230 contained in the 42 CFR parts 430 to 481, edition revised as of October 1, 2015. § 438.236 Practice guidelines. (a) Basic rule. The State must ensure, through its contracts, that each MCO, PIHP, and PAHP meets the requirements of this section. convoy scs Web42 CFR § 438.602(c) 7. 42 CFR § 438.230(c)(3)(i)-(iii) All Plan Letter 17-004 Page 3 . I. f DHCS, CMS, or the DHHS Inspector General determine there is a reasonable possibility of fraud or similar risk, DHCS, CMS, or the DHHS Inspector General may inspect, evaluate, and audit the subcontractor at any time. 8.

Web§438.230 42 CFR Ch. IV (10–1–02 Edition) chapter, the State must conduct ran-dom reviews of each delegated MCO or PIHP and its providers and subcontrac-tors to ensure that they are notifying enrollees in a timely manner. §438.230 Subcontractual relationships and delegation. (a) General rule. The State must en- convoy seattle jobs Web42 CFR § 438.330 - Quality assessment and performance improvement program. CFR ; prev next § 438.330 Quality assessment and performance improvement program. (a) … convoys assassin's creed 3