Centers for Medicare and Medicaid Services (CMS) regulations at 42 CFR § 438.66(e) require states to submit a Managed Care Program Annual Report (MCPAR). Under the regulation, each state must submit to CMS, no later than 180 days after each contract year, a report on each managed care program administered by the state. In June, Pennsylvania submitted four MCPA Reports: Behavioral HealthChoices, Community HealthChoices, Physical HealthChoices, and Adult Community Autism Program (ACAP).