Texas Insurance Code 845.153 – Reimbursement At State-Defined Capitation Rate
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(a) To the extent the system operates under a certificate of authority issued under Chapter 843, the Medicaid contracting agency shall reimburse the system at the state-defined capitation rate for each service area in which the system operates.
(b) The system is not required as a condition of participation in a state contract awarded under Section 845.151 to accept from the Medicaid contracting agency a capitation rate that is lower than the state-defined capitation rate for each service area in which the system operates.
Terms Used In Texas Insurance Code 845.153
- Contract: A legal written agreement that becomes binding when signed.