42 C.F.R. § 447.58   Payments to prepaid capitation organizations.


Title 42 - Public Health


Title 42: Public Health
PART 447—PAYMENTS FOR SERVICES
Subpart A—Payments: General Provisions
deductible, coinsurance, co-payment or similar cost-sharing charge

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§ 447.58   Payments to prepaid capitation organizations.

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 recipient members, the plan must provide that the agency calculates its payments to the organization as if those cost sharing charges were collected.

[48 FR 5736, Jan. 8, 1983, as amended at 67 FR 41116, June 14, 2002]

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