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Title 42

Displaying title 42, up to date as of 7/09/2026. Title 42 was last amended 7/01/2026.
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Title 42Public HealthPart / Section
Chapter IVCenters for Medicare & Medicaid Services, Department of Health and Human Services400 – 699
Subchapter CMedical Assistance Programs430 – 456
Part 438Managed Care438.1 – 438.930
Subpart AGeneral Provisions438.1 – 438.16
Subpart BState Responsibilities438.50 – 438.74
Subpart CEnrollee Rights and Protections438.100 – 438.116
Subpart DMCO, PIHP and PAHP Standards438.206 – 438.242
Subpart EQuality Measurement and Improvement; External Quality Review438.310 – 438.370
Subpart FGrievance and Appeal System438.400 – 438.424
Subpart GMedicaid Managed Care Quality Rating System438.500 – 438.535
Subpart HAdditional Program Integrity Safeguards438.600 – 438.610
§ 438.600Statutory basis, basic rule, and applicability.
§ 438.602State responsibilities.
§ 438.604Data, information, and documentation that must be submitted.
§ 438.606Source, content, and timing of certification.
§ 438.608Program integrity requirements under the contract.
§ 438.610Prohibited affiliations.
Subpart ISanctions438.700 – 438.730
Subpart JConditions for Federal Financial Participation (FFP)438.802 – 438.818
Subpart KParity in Mental Health and Substance Use Disorder Benefits438.900 – 438.930
§ 438.900Meaning of terms.
§ 438.905Parity requirements for aggregate lifetime and annual dollar limits.
§ 438.910Parity requirements for financial requirements and treatment limitations.
§ 438.915Availability of information.
§ 438.920Applicability.
§ 438.930Compliance dates.