42 C.F.R. § 438.812   Costs under risk and nonrisk contracts.


Title 42 - Public Health


Title 42: Public Health
PART 438—MANAGED CARE
Subpart J—Conditions for Federal Financial Participation

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§ 438.812   Costs under risk and nonrisk contracts.

(a) Under a risk contract, the total amount the State agency pays for carrying out the contract provisions is a medical assistance cost.

(b) Under a nonrisk contract—

(1) The amount the State agency pays for the furnishing of medical services to eligible recipients is a medical assistance cost; and

(2) The amount the State agency pays for the contractor's performance of other functions is an administrative cost.

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