447.46—Timely claims payment by MCOs.
(a) Basis and scope.
This section implements section 1932(f) of the Act by specifying the rules and exceptions for prompt payment of claims by MCOs.
(c) Contract requirements—
(1) Basic rule.
A contract with an MCO must provide that the organization will meet the requirements of §§ 447.45(d)(2) and (d)(3), and abide by the specifications of §§ 447.45(d)(5) and (d)(6).
(2) Exception.
The MCO and its providers may, by mutual agreement, establish an alternative payment schedule.
[67 FR 41115, June 14, 2002]