How Payment Arrangement is Reflected in Managed Care Rates. Payments for both CICIP and the supplemental pharmacy dispensing fee are reflected as PMPM add-ons to the prospective rates in this certification.
How Payment Arrangement is Reflected in Managed Care Rates. Payments for the supplemental pharmacy dispensing fee is reflected as PMPM add-ons to the prospective rates for July through December 2020, which are illustrated in Appendix 3.
How Payment Arrangement is Reflected in Managed Care Rates. Payments for the HAP are incorporated retrospectively via a separate payment term. Payments for COVID-19 testing services are included as part of the projected benefit expense. For the supplemental pharmacy dispensing fee, payments are reflected as PMPM add-ons to the prospective rates in this certification.
