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Code of Federal Regulations
C.F.R. Title 42—Public Health
CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS
PART 438—MANAGED CARE
Subpart J—Conditions for Federal Financial Participation (FFP)

42 C.F.R. § 438.802

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Basic requirements.

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§ 438.802 Basic requirements.

FFP is available in expenditures for payments under an MCO contract only for the periods during which the contract—

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Source: 81 FR 27853, May 6, 2016, unless otherwise noted.

Table of Contents

Subpart J—Conditions for Federal Financial Participation (FFP)

§438.802 Basic requirements.
§438.806 Prior approval.
§438.808 Exclusion of entities.
§438.810 Expenditures for enrollment broker services.
§438.812 Costs under risk and nonrisk contracts.
§438.816 Expenditures for the beneficiary support system for enrollees using LTSS.
§438.818 Enrollee encounter data.

About SCCE

The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

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About HCCA

The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

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