{"data":{"id":"us/42-cfr-438.332","jurisdiction":"us","citation":"42 CFR 438.332","heading":"State review of the accreditation status of MCOs, PIHPs, and PAHPs.","body":"(a) The State must require, through its contracts, that each MCO, PIHP, and PAHP inform the State whether it has been accredited by a private independent accrediting entity.\n(b) The State must require, through its contracts, that each MCO, PIHP, and PAHP that has received accreditation by a private independent accrediting entity must authorize the private independent accrediting entity to provide the State a copy of its most recent accreditation review, including:\n(1) Accreditation status, survey type, and level (as applicable);\n(2) Accreditation results, including recommended actions or improvements, corrective action plans, and summaries of findings; and\n(3) Expiration date of the accreditation.\n(c) The State must—\n(1) Make the accreditation status for each contracted MCO, PIHP, and PAHP available on the Web site required under § 438.10(c)(3), including whether each MCO, PIHP, and PAHP has been accredited and, if applicable, the name of the accrediting entity, accreditation program, and accreditation level; and\n(2) Update this information at least annually.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS","PART 438—MANAGED CARE","Subpart E—Quality Measurement and Improvement; External Quality Review"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"cf68275cb592ac186d4b7b3d3f66f5bf91e738c84c0fee2dae0615a62d6e8e23","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-438.330","next":"us/42-cfr-438.334"},"notice":"GroundRules: Original legal text. Not legal advice."}