42 C.F.R. § 438.812

Costs under risk and nonrisk contracts.

Last amended: 2017Year: 2026Length: 68 wordsSubsections: 2Official source

Cite as 42 C.F.R. § 438.812 (2026)

(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.
42 C.F.R. § 438.812: Costs under risk and nonrisk contracts. | Justis AI