Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.57 - Partially Capitated Programs
Section 10.09.57.13 - Payment Procedure
Universal Citation: MD Code Reg 10.09.57.13
Current through Register Vol. 51, No. 19, September 20, 2024
A. The Department shall pay a PCP a per capita capitation payment for capitated services.
B. The Department shall calculate the capitation payment as a percentage of the cost to the Program of providing the same services on a fee-for-service basis to an actuarially equivalent non-enrolled group.
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