Code of Federal Regulations (Last Updated: May 6, 2024) |
Title 42 - Public Health |
Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
SubChapter C - Medical Assistance Programs |
Part 447 - Payments for Services |
Subpart A - Payments: General Provisions |
deductible, coinsurance, co-payment or similar cost-sharing charge |
§ 447.58 - Payments to prepaid capitation organizations.
Latest version.
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If the agency contracts with a prepaid capitation organization that does not impose the agency's deductibles, coinsurance, co-payments or similar charges on its beneficiary members, the plan must provide that the agency calculates its payments to the organization as if those cost sharing charges were collected.