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.
Appears in 6 contracts
Sources: Medicaid Managed Care Contract, Medicaid Managed Care Contract, Medicaid Managed Care Contract
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 ▇▇▇▇ 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.
Appears in 1 contract
Sources: Medicaid Managed Care Contract