The contract between the MA organization and CMS must specify that--
(a) The MA organization must pay a Federally qualified health center (FQHC) a similar amount to what it pays other providers for similar services.
(b) Under such a contract, the FQHC must accept this payment as payment in full, except for allowable cost sharing which it may collect.
(c) Financial incentives, such as risk pool payments or bonuses, and financial withholdings are not considered in determining the payments made by CMS under Sec. 422.316(a). [70 FR 4738, Jan. 28, 2005] Subpart L_Effect of Change of Ownership or Leasing of Facilities During
Term of Contract
Source: 63 FR 35067, June 26, 1998, unless otherwise noted.
Editorial Note: Nomenclature changes to subpart L of part 422 appear at 63 FR 35106, June 26, 1998.