Md. Code Regs. 10.09.57.13

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.09.57.13 - Payment Procedure

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.

Regulations .13 adopted as an emergency provision effective June 14, 1995 (22:14 Md. R. 1051); adopted permanently effective October 23, 1995 (22:21 Md. R. 1616)