§422.527. Agreements with Federally qualified health centers.
42 C.F.R. § 422.527
The contract between the MA organization and CMS must specify that—
The MA organization must pay a Federally qualified health center (FQHC) a similar amount to what it pays other providers for similar services.
Under such a contract, the FQHC must accept this payment as payment in full, except for allowable cost sharing which it may collect.
Financial incentives, such as risk pool payments or bonuses, and financial withholdings are not considered in determining the payments made by CMS under § 422.316(a).
Notes, amendments, and revision history
Amendments
[70 FR 4738, Jan. 28, 2005]
Source
Source: 63 FR 35099, June 26, 1998, unless otherwise noted.
Authority
Authority: 42 U.S.C. 1302, 1306, 1395w-21 through 1395w-28, and 1395hh.
Source
Source: 63 FR 18134, Apr. 14, 1998, unless otherwise noted.
Amendments
[70 FR 4738, Jan. 28, 2005]