Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1735.2 - GENERAL PROVISIONS FOR PARTICIPATING HEALTH PLANS
Section 17-1735.2-5 - Capitated payments

Universal Citation: HI Admin Rules 17-1735.2-5

Current through February, 2024

(a) Each participating health plan shall be paid on a capitated basis, as negotiated with the department, for an eligible individual enrolled in that health plan.

(b) The department shall provide the capitated payment, as stipulated in the contract between the department and each health plan, in return for the health plan's provision of all contracted coverage for the health plan's eligible individuals.

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