Calculation of Rates. The Capitation Rate has been established in accordance with 42 CFR 438. The Capitation Rates are attached as Appendix A. “Capitation Payment Rates” and shall be deemed incorporated into this Contract and shall be binding to the Contractor and the Department, subject to CMS’ approval. If CMS fails to approve a component of the rates, the capitation payment rates shall be adjusted to reflect that disapproval.
Appears in 4 contracts
Samples: Medicaid Managed Care Contract, Medicaid Managed Care Contract, Medicaid Managed Care Contract
Calculation of Rates. The Capitation Rate has been established in accordance with 42 CFR 438. The Capitation Rates are attached as Appendix A. “Capitation Payment Rates” B and shall be deemed incorporated into this Contract Agreement and shall be binding to the Contractor and the Department, subject to CMS’ approval. If CMS fails to approve a component of the rates, the capitation payment rates shall be adjusted to reflect that disapproval.
Appears in 1 contract
Samples: Managed Care Contract (Wellcare Health Plans, Inc.)
