[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR447.362]



[Page 330]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 447_PAYMENTS FOR SERVICES--Table of Contents

 

 Subpart F_Payment Methods for Other Institutional and Noninstitutional 

                                Services

 

Sec.  447.362  Upper limits of payment: Nonrisk contract.



    Under a nonrisk contract, Medicaid payments to the contractor may 

not exceed--

    (a) What Medicaid would have paid, on a fee-for-service basis, for 

the services actually furnished to recipients: plus

    (b) The net savings of administrative costs the Medicaid agency 

achieves by contracting with the plan instead of purchasing the services 

on a fee-for-service basis.



[48 FR 54025, Nov. 30, 1983]



                      Rural Health Clinic Services