Per Member Per Month. (PMPM) Rate Setting 1. The provider reimbursement rates are not based on the rate of Federal financial participation associated with the covered populations; 2. The provider reimbursement rates are appropriate for the populations to be covered and the services to be furnished under the contract; and 3. The provider reimbursement rates are adequate to meet the requirements on MCOs, PIHPs, and PAHPs in §§438.206, 438.207, and 438.208.
Appears in 4 contracts
Samples: Intergovernmental Agreement, Intergovernmental Agreement, Intergovernmental Agreement
