42 CFR 438.812 – Costs under risk and nonrisk contracts
Current as of: 2024 | Check for updates
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(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.