Section 237 Managed Care Organization Services Assessment 19

Notwithstanding any general or special law to the contrary, if the commonwealth does not receive all federal approvals pursuant to section 236 that the secretary of health and human services determines necessary to implement sections 4, 5, 18, 19, 20, 58, 111, 120, 121, 122, 123, 124, 126, 127, 130, 131 and 235, including any required waivers under 42 CFR § 433.68, said sections 4, 5, 18, 19, 20, 58, 111, 120, 121, 122, 123, 124, 126, 127, 130, 131 and 235 shall not become effective until the first full calendar month following the calendar month in which the secretary determines that all such federal approvals have been received. The secretary shall continue to seek all federal approvals necessary to implement said sections 4, 5, 18, 19, 20, 58, 111, 120, 121, 122, 123, 124, 126, 127, 130, 131 and 235 until such federal approvals have been received or the United States Department of Health and Human Services or the Centers for Medicare and Medicaid Services renders a final determination to deny the request for federal approvals determined necessary pursuant to section 236.