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Code of Federal Regulations Title 42. Public Health § 42.457.1250 External quality review

Current as of January 02, 2025 | Updated by Findlaw Staff

(a) Each State that contracts with MCOs, PIHPs, or PAHPs must follow all applicable external quality review requirements as set forth in §§ 438.350 (except for references to §§ 438.362), 438.352, 438.354, 438.356, 438.358, 438.360 (only with respect to nonduplication of EQR activities with private accreditation) and § 438.364 of this chapter. In the case of a contract with a PCCM entity described in § 457.1240(f), § 438.350 (except for references to § 438.362) of this chapter applies.

(b) A State may amend an existing EQRO contract to include the performance of EQR–related activities and/or EQR in accordance with paragraph (a) of this section.

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Cite this article: FindLaw.com - Code of Federal Regulations Title 42. Public Health § 42.457.1250 External quality review - last updated January 02, 2025 | https://codes.findlaw.com/cfr/title-42-public-health/cfr-sect-42-457-1250/

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