Code of Maryland Regulations (Last Updated: April 6, 2021) |
Title 10. Maryland Department of Health |
Part 2. |
Subtitle 09. MEDICAL CARE PROGRAMS |
Chapter 10.09.57. Partially Capitated Programs |
Sec. 10.09.57.13. Payment Procedure
Latest version.
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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.