CAPITATION DEDUCTIONS Clause Samples
CAPITATION DEDUCTIONS. PMPM deductions shall be made to --------------------- PROVIDER's monthly capitation as adjustment for items covered under a PPG's Professional Capitation. In the event PPG has been assigned the risk for Durable Medical Equipment, a deduction of $3.17 PMPM can be made in PROVIDER capitation for Members assigned to any such PPGs. HMO shall notify PROVIDER on a monthly basis of any such PPGs.
CAPITATION DEDUCTIONS. PMPM deductions shall be made to --------------------- PROVIDER's monthly capitation as adjustment for items covered under a PPG's Professional Capitation. In the event PPG has been assigned the risk for Durable Medical Equipment, a deduction of .42 PMPM can be made in PROVIDER capitation for Members assigned to such PPG. HMO shall notify PROVIDER on a monthly basis of such PPG. HMO shall notify PROVIDER on a monthly basis of any such PPGs. ADDENDUM C MEDICARE RISK BENEFIT PROGRAM This Addendum sets forth additional terms which shall only apply to Members who are enrolled in HMOs Medicare Risk Benefit Programs. PROVIDER understands and agrees that the obligations set forth in this Addendum are only the obligations of Health Net and Foundation Health, a California Health Plan, (hereafter "HMO"), and not the obligations of HMO or any other Affiliate of HMO.