Common use of Co-Payments Clause in Contracts

Co-Payments. The Contractor shall not set co-payment amounts that exceed the Department’s Fee for Service co-payments. The co-payment requirements for the Medicaid Program can be found in 907 KAR 1:604. Any cost sharing imposed by the Contractor shall be in accordance with 42 C.F.R. §§447.50 through 447.82. The Department will calculate payments to the Contractor as set forth in 42 CFR 447.56(d). The actuarial value of the co-payments will be reflected in the Capitation Rate. The Department may exclude the collection of co-payments with at least ninety (90) days written notice to the Contractor.

Co-Payments. The Contractor shall not set co-payment amounts that exceed the Department’s Fee for Service co-payments. The co-payment requirements for the Medicaid Program can be found in 907 KAR 1:604. Any cost sharing imposed by the Contractor shall be in accordance with 42 C.F.R. §§447.50 through 447.82. The Department will calculate payments to the Contractor as set forth f xxxx in 42 CFR 447.56(d). The actuarial value of the co-payments will be reflected in the Capitation Rate. The Department may exclude the collection of co-payments with at least ninety (90) days written notice to the Contractor.