United States Government Publishing Office
publisher
pbl
distributor
dst
United States
National Archives and Records Administration
Office of the Federal Register
author
aut
Government Organization
text
government publication
eng
FR
Regulatory Information
1998_register
executive
2010-09-24
article
Medicaid Program; Medicaid Managed Care
Part III
Proposed Rules
D09002ee1bdfefcb3
D09002ee1bdff01e3
United States
Department of Health and Human Services
originator
org
United States Government Agency or Subagency
United States
Health Care Financing Administration
originator
org
United States Government Agency or Subagency
This proposed rule would amend the Medicaid regulations to allow the States greater flexibility by giving them the option to require Medicaid recipients to enroll in managed care entities without obtaining waivers. These revisions, which are authorized by the Balanced Budget Act of 1997, would establish new beneficiary protections in areas such as quality assurance, grievance rights, and coverage of emergency services. They would eliminate certain requirements viewed by State agencies as impediments to the growth of managed care programs, such as the enrollment composition requirement, the right to disenroll without cause at any time, and the prohibition against enrollee cost-sharing. They would also permit State agencies to amend their State plans to require enrollment in managed care organizations subject to certain conditions, including limits on whose enrollment can be mandated, and a requirement for beneficiary choice. In addition, this rule would extend most of these new requirements to prepaid health plans.
63 FR 52022
https://www.govinfo.gov/app/details/FR-1998-09-29/98-26068
98-26068
fr29se98-52
RIN 0938-AI70
4120-01-P
HCFA-2001-P
https://www.govinfo.gov/app/details/FR-1998-09-29/98-26068
https://www.govinfo.gov/content/pkg/FR-1998-09-29/html/98-26068.htm
https://www.govinfo.gov/content/pkg/FR-1998-09-29/pdf/98-26068.pdf
71 p.
52022
52092
63 FR 52022
Code of Federal Regulations
Title 42 Part
42 CFR Part
Code of Federal Regulations
Title 42 Part 400
42 CFR Part 400
Code of Federal Regulations
Title 42 Part 430
42 CFR Part 430
Code of Federal Regulations
Title 42 Part 431
42 CFR Part 431
Code of Federal Regulations
Title 42 Part 434
42 CFR Part 434
Code of Federal Regulations
Title 42 Part 435
42 CFR Part 435
Code of Federal Regulations
Title 42 Part 438
42 CFR Part 438
Code of Federal Regulations
Title 42 Part 440
42 CFR Part 440
Code of Federal Regulations
Title 42 Part 447
42 CFR Part 447
Regulation Identification Number 0938-AI70
RIN 0938-AI70
Medicaid Program; Medicaid Managed Care; Federal Register Vol. 63, Issue
PRORULE
98-26068
III
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
1998-11-30
HCFA-2001-P
4120-01-P
98-26068
Proposed rule.
This proposed rule would amend the Medicaid regulations to allow the States greater flexibility by giving them the option to require Medicaid recipients to enroll in managed care entities without obtaining waivers. These revisions, which are authorized by the Balanced Budget Act of 1997, would establish new beneficiary protections in areas such as quality assurance, grievance rights, and coverage of emergency services. They would eliminate certain requirements viewed by State agencies as impediments to the growth of managed care programs, such as the enrollment composition requirement, the right to disenroll without cause at any time, and the prohibition against enrollee cost-sharing. They would also permit State agencies to amend their State plans to require enrollment in managed care organizations subject to certain conditions, including limits on whose enrollment can be mandated, and a requirement for beneficiary choice. In addition, this rule would extend most of these new requirements to prepaid health plans.
Comments will be considered if we receive them at the appropriate address, as provided below, no later than 5 p.m. on November 30, 1998.
Subparts A and B--Michael Fiore (410) 786-0623; Subpart C--Kristin McGinn (410) 786-4581; Subpart E--Ann Page (410) 786-0083; Nicole Martin (410) 786-1068; Subpart F--Nicole Martin (410) 786-1068; Brenda Jackson (816) 426-3406; Subpart H--Tim Roe (410) 786-2006; Subpart I--Tim Roe (410) 786-2006; Subpart J--Michael Fiore (410) 786-0623.
Federal Register
Vol. 63, no. 188
Office of the Federal Register, National Archives and Records Administration
1998-09-29
continuing
daily
deposited
born digital
366 p.
Table of Contents:
AE 2.7:
GS 4.107:
AE 2.106:
KF70.A2
https://www.govinfo.gov/app/details/FR-1998-09-29
P0b002ee180a75d91
0097-6326
0042-1219
0364-1406
769-004-00000-9
000582072
f:fr29se98
https://www.govinfo.gov/app/details/FR-1998-09-29
https://www.govinfo.gov/content/pkg/FR-1998-09-29/pdf/FR-1998-09-29.pdf
fdlp
51777
52130
DGPO
2010-09-24
2023-05-06
FR-1998-09-29
machine generated
eng
FR
FR-1998-09-29
63
188