42 C.F.R. § 438.812

Current through November 30, 2024
Section 438.812 - Costs under risk and nonrisk contracts
(a) Under a risk contract, the total amount the State agency pays for carrying out the contract provisions is a medical assistance cost.
(b) Under a nonrisk contract-
(1) The amount the State agency pays for the furnishing of medical services to eligible beneficiaries is a medical assistance cost; and
(2) The amount the State agency pays for the contractor's performance of other functions is an administrative cost.

42 C.F.R. §438.812

81 FR 27852 , 5/6/2016