42 C.F.R. § 438.66 Monitoring procedures.
Title 42 - Public Health
The State agency must have in effect procedures for monitoring the MCO's, PIHP's, or PAHP's operations, including, at a minimum, operations related to the following: (a) Recipient enrollment and disenrollment. (b) Processing of grievances and appeals. (c) Violations subject to intermediate sanctions, as set forth in subpart I of this part. (d) Violations of the conditions for FFP, as set forth in subpart J of this part. (e) All other provisions of the contract, as appropriate.
Title 42: Public Health
PART 438—MANAGED CARE
Subpart B—State Responsibilities
§ 438.66 Monitoring procedures.
