§438.12. Provider discrimination prohibited. — Inbound Citations
42 C.F.R. § 438.12
Statutory Authority
Cited by 3 regulations in release Current.
Citations to 42 U.S.C. § 438.12 as a whole
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(c) MCO, PIHP, and PAHP network provider selection policies and procedures, consistent with § 438.12, must not discriminate against particular providers that serve high-risk populations or specialize in conditions that require costly treatment.
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(4) The provision against provider discrimination in § 438.12.
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The state must ensure through its contracts that each MCO, PIHP, and PAHP follow the requirements related to the prohibition on provider discrimination in § 438.12 of this chapter.