42 C.F.R. § 438.202 State responsibilities.
Title 42 - Public Health
Each State contracting with an MCO or PIHP must do the following: (a) Have a written strategy for assessing and improving the quality of managed care services offered by all MCOs and PIHPs. (b) Obtain the input of recipients and other stakeholders in the development of the strategy and make the strategy available for public comment before adopting it in final. (c) Ensure that MCOs, PIHPs, and PAHPs comply with standards established by the State, consistent with this subpart. (d) Conduct periodic reviews to evaluate the effectiveness of the strategy, and update the strategy periodically, as needed. (e) Submit to CMS the following: (1) A copy of the initial strategy, and a copy of the revised strategy whenever significant changes are made. (2) Regular reports on the implementation and effectiveness of the strategy.
Title 42: Public Health
PART 438—MANAGED CARE
Subpart D—Quality Assessment and Performance Improvement
§ 438.202 State responsibilities.
