---
kind: "unit"
title: "42"
title_heading: "Public Health"
key: "chIV/subchC/part438"
level: "part"
label: "Part 438"
heading: "Managed Care"
release: "ecfr-current"
date: "2026-08-27"
url: "https://uscodex.org/cfr/42/chIV-subchC-part438"
sections_count: 106
---

# Part 438 — Managed Care

Title 42 C.F.R. — Public Health › Chapter IV — Centers for Medicare & Medicaid Services, Department of Health and Human Services › Subchapter C — Medical Assistance Programs

## Contents

- [Subpart A — General Provisions](/cfr/42/chIV-subchC-part438-subpartA.md)
- [Subpart B — State Responsibilities](/cfr/42/chIV-subchC-part438-subpartB.md)
- [Subpart C — Enrollee Rights and Protections](/cfr/42/chIV-subchC-part438-subpartC.md)
- [Subpart D — MCO, PIHP and PAHP Standards](/cfr/42/chIV-subchC-part438-subpartD.md)
- [Subpart E — Quality Measurement and Improvement; External Quality Review](/cfr/42/chIV-subchC-part438-subpartE.md)
- [Subpart F — Grievance and Appeal System](/cfr/42/chIV-subchC-part438-subpartF.md)
- [Subpart G — Medicaid Managed Care Quality Rating System](/cfr/42/chIV-subchC-part438-subpartG.md)
- [Subpart H — Additional Program Integrity Safeguards](/cfr/42/chIV-subchC-part438-subpartH.md)
- [Subpart I — Sanctions](/cfr/42/chIV-subchC-part438-subpartI.md)
- [Subpart J — Conditions for Federal Financial Participation (FFP)](/cfr/42/chIV-subchC-part438-subpartJ.md)
- [Subpart K — Parity in Mental Health and Substance Use Disorder Benefits](/cfr/42/chIV-subchC-part438-subpartK.md)