[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR447.58]



[Page 316]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 447_PAYMENTS FOR SERVICES--Table of Contents

 

                 Subpart A_Payments: General Provisions

 

Sec.  447.58  Payments to prepaid capitation organizations.



    If the agency contracts with a prepaid capitation organization that 

does not impose the agency's deductibles, coinsurance, co-payments or 

similar charges on its recipient members, the plan must provide that the 

agency calculates its payments to the organization as if those cost 

sharing charges were collected.



[48 FR 5736, Jan. 8, 1983, as amended at 67 FR 41116, June 14, 2002]



                     federal financial participation