[Code of Federal Regulations] [Title 42, Volume 3] [Revised as of October 1, 2002] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR438.416] [Page 221] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES--(Continued) PART 438--MANAGED CARE--Table of Contents Subpart F--Grievance System Sec. 438.416 Recordkeeping and reporting requirements. The State must require MCOs and PIHPs to maintain records of grievances and appeals and must review the information as part of the State quality strategy.