---
kind: "section"
citation: "42 C.F.R. § 447.46"
title: "42"
number: "447.46"
heading: "Timely claims payment by MCOs."
url: "https://uscodex.org/cfr/42/447.46"
---

# §447.46. Timely claims payment by MCOs.

- (a) **Basis and scope.** This section implements section 1932(f) of the Act by specifying the rules and exceptions for prompt payment of claims by MCOs.
- (b) **Definitions.** “Claim” and “clean claim” have the meaning given those terms in [§ 447.45](/cfr/42/447.45.md).
- (c) **Contract requirements—**
  - (1) **Basic rule.** A contract with an MCO must provide that the organization will meet the requirements of § [447.45(d)(2)](/cfr/42/447.45.md?p=d-2) and [(d)(3)](/cfr/42/447.45.md?p=d-3), and abide by the specifications of § [447.45(d)(5)](/cfr/42/447.45.md?p=d-5) and [(d)(6)](/cfr/42/447.45.md?p=d-6).
  - (2) **Exception.** The MCO and its providers may, by mutual agreement, establish an alternative payment schedule.
  - (3) **Alternative schedule.** Any alternative schedule must be stipulated in the contract.

## Notes

### Amendments

[67 FR 41115, June 14, 2002]

### Authority

Authority: 42 U.S.C. 1302, and 1396r-8, and Pub. L. 111-148.

### Source

Source: 43 FR 45253, Sept. 29, 1978, unless otherwise noted.

### Amendments

[67 FR 41115, June 14, 2002]