{"abstract":"This final rule amends the Medicaid regulations to implement provisions of the Balanced Budget Act of 1997 (BBA) that allow the States greater flexibility by permitting them to amend their State plan to require certain categories of Medicaid beneficiaries to enroll in managed care entities without obtaining waivers if beneficiary choice is provided; establish new beneficiary protections in areas such as quality assurance, grievance rights, and coverage of emergency services; and eliminate certain requirements viewed by State agencies as impediments to the growth of managed care programs, such as, the enrollment composition requirement, the right to disenroll without cause at any time, and the prohibition against enrollee cost-sharing.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2002/06/14/02-14747.html","cfr_references":[{"chapter":null,"citation_url":null,"part":400,"title":42},{"chapter":null,"citation_url":null,"part":430,"title":42},{"chapter":null,"citation_url":null,"part":431,"title":42},{"chapter":null,"citation_url":null,"part":434,"title":42},{"chapter":null,"citation_url":null,"part":435,"title":42},{"chapter":null,"citation_url":null,"part":438,"title":42},{"chapter":null,"citation_url":null,"part":440,"title":42},{"chapter":null,"citation_url":null,"part":447,"title":42}],"citation":"67 FR 40989","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective on August 13, 2002. States will have until June 16, 2003, to bring all aspects of their State managed care program (that is, contracts, waivers, State plan amendments and State operations) into compliance with the final rule provisions.","disposition_notes":null,"docket_ids":["CMS-2104-F"],"dockets":[],"document_number":"02-14747","effective_on":"2002-08-13","end_page":41116,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2002/06/14/02-14747.xml","html_url":"https://www.federalregister.gov/documents/2002/06/14/02-14747/medicaid-program-medicaid-managed-care-new-provisions","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/02-14747?publication_date=2002-06-14","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2002-06-14/02-14747/mods.xml","not_received_for_publication":null,"page_length":128,"page_views":{"count":6652,"last_updated":"2026-07-26 00:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2002-06-14/pdf/02-14747.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2002-06-14","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2002/06/14/02-14747.txt","regulation_id_number_info":{"0938-AK96":{"issue":"200210","html_url":"https://www.federalregister.gov/regulations/0938-AK96/medicaid-managed-care-new-provisions-cms-2104-f2-","title":"Medicaid Managed Care; New Provisions (CMS-2104-F2)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=200210&RIN=0938-AK96&operation=OPERATION_EXPORT_XML","priority_category":"Info./Admin./Other"}},"regulation_id_numbers":["0938-AK96"],"regulations_dot_gov_info":{},"regulations_dot_gov_url":null,"significant":false,"signing_date":null,"start_page":40989,"subtype":null,"title":"Medicaid Program; Medicaid Managed Care: New Provisions","toc_doc":"Managed care","toc_subject":"Medicaid:","topics":["Administrative practice and procedure","Aid to Families with Dependent Children","Grant programs-health","Health facilities","Health maintenance organizations (HMO)","Medicaid","Medicare","Privacy","Reporting and recordkeeping requirements","Supplemental Security Income (SSI)","Wages"],"type":"Rule","volume":67}