# Medicaid Program; Medicaid Managed Care
> **Centers for Medicare and Medicaid Services** · Final rule with comment period. · Published 2001-01-19 · Effective 2001-04-19 · 66 FR 6228
## Document
- **Document number:** 01-1447
- **Category:** medicaid
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 66 FR 6228
- **CFR reference:** 42 CFR 400
- **Publication date:** 2001-01-19
- **Effective date:** 2001-04-19
- **HHS docket:** HCFA-2001-FC
## Abstract

This final rule with comment period 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; 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. In addition, this final rule expands on regulatory beneficiary protections provided to enrollees of prepaid health plans (PHPs) by requiring that PHPs comply with specified BBA requirements that would not otherwise apply to PHPs.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2001/01/19/01-1447/medicaid-program-medicaid-managed-care)
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