Federally Qualified Health Centers (FQHCs). Pursuant to the Three-Way Contract, MCOP payments to FQHCs should be no less than the sum of the following:
Appears in 4 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
Federally Qualified Health Centers (FQHCs). Pursuant to the Three-Way Contract, MCOP payments to FQHCs should be no less than the sum of the following:
1. The level and amount of payment that the MCOP would make for such services provided by a non-FQHC provider; and
2. The difference between 80% of the Medicare fee-for-service rate for the FQHC and the Medicaid prospective payment system (PPS) amount for the FQHC, where the Medicaid PPs amount exceeds 80% of the Medicare rate.
Appears in 1 contract
Samples: Provider Agreement
