42 C.F.R. § 438.228 Grievance systems.
Title 42 - Public Health
(a) The State must ensure, through its contracts, that each MCO and PIHP has in effect a grievance system that meets the requirements of subpart F of this part. (b) If the State delegates to the MCO or PIHP responsibility for notice of action under subpart E of part 431 of this chapter, the State must conduct random reviews of each delegated MCO or PIHP and its providers and subcontractors to ensure that they are notifying enrollees in a timely manner.
Title 42: Public Health
PART 438—MANAGED CARE
Subpart D—Quality Assessment and Performance Improvement
Structure and Operation Standards
§ 438.228 Grievance systems.
