Common use of Contract Classification Clause in Contracts

Contract Classification. (A) This Contract is classified as a Risk Contract and pursuant to 42 CFR 438.812(a) the total amount the Department pays for carrying out the contract is a medical assistance cost. (B) The Contractor shall provide all services required by this Contract and the Capitation Payments and any cost sharing from Enrollees shall be considered payment in full for all services covered under this Contract. (C) The Contractor incurs loss if the cost of furnishing the services exceeds the payments under the Contract. (D) The Contractor may retain all payments under this Contract. (E) Pursuant to 42 CFR 438.6(e) the Contractor may provide services to Enrollees that are in addition to those covered under the State plan although, the cost of these services cannot be included when determining rates.