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 2002_register executive 2010-09-23 article Part II Rules and Regulations D09002ee1c8196e0b D09002ee1c8196f05 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This final rule amends the Medicaid regulations to implement provisions of the Balanced Budget Act of 1997 (BBA) that allow the States greater flexibility by permitting them to amend their State plan to require certain categories of Medicaid beneficiaries to enroll in managed care entities without obtaining waivers if beneficiary choice is provided; establish new beneficiary protections in areas such as quality assurance, grievance rights, and coverage of emergency services; and 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. 67 FR 40989 https://www.govinfo.gov/app/details/FR-2002-06-14/02-14747 02-14747 fr14jn02-21 RIN 0938-AK96 4120-01-P CMS-2104-F https://www.govinfo.gov/app/details/FR-2002-06-14/02-14747 https://www.govinfo.gov/content/pkg/FR-2002-06-14/html/02-14747.htm https://www.govinfo.gov/content/pkg/FR-2002-06-14/pdf/02-14747.pdf Grant Programs-Health Health Facilities Health Maintenance Organizations (Hmo) Medicaid Medicare Reporting and Recordkeeping Requirements Administrative Practice and Procedure Privacy Aid to Families with Dependent Children Supplemental Security Income (Ssi) Wages Managed Care Entities Quality Assurance 128 p. 40989 41116 67 FR 40989 Title 42 Part 400 42 CFR Part 400 Title 42 Part 430 42 CFR Part 430 Title 42 Part 431 42 CFR Part 431 Title 42 Part 434 42 CFR Part 434 Title 42 Part 435 42 CFR Part 435 Title 42 Part 438 42 CFR Part 438 Title 42 Part 440 42 CFR Part 440 Title 42 Part 447 42 CFR Part 447 RIN 0938-AK96 Medicaid Program; Medicaid Managed Care: New Provisions; Federal Register Vol. 67, Issue RULE 02-14747 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2002-08-13 CMS-2104-F 4120-01-P 02-14747 Final rule.

This final rule amends the Medicaid regulations to implement provisions of the Balanced Budget Act of 1997 (BBA) that allow the States greater flexibility by permitting them to amend their State plan to require certain categories of Medicaid beneficiaries to enroll in managed care entities without obtaining waivers if beneficiary choice is provided; establish new beneficiary protections in areas such as quality assurance, grievance rights, and coverage of emergency services; and 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.

These regulations are effective on August 13, 2002. States will have until June 16, 2003, to bring all aspects of their State managed care program (that is, contracts, waivers, State plan amendments and State operations) into compliance with the final rule provisions. Subparts A and B--Bruce Johnson, (410) 786-0615. Subpart C--Kristin Fan, (410) 786-4581. Subpart D--Deborah Larwood, (410) 786-9500. Subpart F--Tim Roe, (410) 786-2006. Subpart H--Donna Schmidt, (410) 786-5532. Subpart I--Tim Roe, (410) 786-2006. Subpart J--Bruce Johnson, (410) 786-0615. Grant Programs-Health Health Facilities Health Maintenance Organizations (Hmo) Medicaid Medicare Reporting and Recordkeeping Requirements Administrative Practice and Procedure Privacy Aid to Families with Dependent Children Supplemental Security Income (Ssi) Wages Managed Care Entities Quality Assurance Medicaid: Managed care, http://www.access.gpo.gov/nara/index.html http://www.hcfa.gov/medicaid/letters/smd80700.htm http://www.hcfa.gov/medicaid/mceqrhmp.htm www.hcfa.gov/medicaid/letters/ Vol. 67, no. 115 Office of the Federal Register, National Archives and Records Administration 2002-06-14 continuing daily deposited born digital 330 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2002-06-14 P0b002ee1809c5020 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr14jn02 https://www.govinfo.gov/app/details/FR-2002-06-14 https://www.govinfo.gov/content/pkg/FR-2002-06-14/pdf/FR-2002-06-14.pdf https://www.govinfo.gov/content/pkg/FR-2002-06-14/xml/FR-2002-06-14.xml fdlp 40833 41153 DGPO 2010-09-23 2024-06-07 FR-2002-06-14 machine generated eng FR FR-2002-06-14 67 115