048.0037.47.24
Ch. 47, § 24. Payment of Claims
Cite as Medicaid Rules, Ch. 47, § 24
(a) The CME is paid using per member, per month (PMPM) administrative services rate for HFWA service administration.
(b) The PMPM paid to the CME for administrative services is contractually negotiated.
(c) The CME network providers are paid on a fee for service basis for the HFWA and waiver services specified in the contract.