Under a nonrisk contract, Medicaid payments to the contractor may not exceed--
(a) What Medicaid would have paid, on a fee-for-service basis, for the services actually furnished to beneficiaries: plus
(b) The net savings of administrative costs the Medicaid agency achieves by contracting with the plan instead of purchasing the services on a fee-for-service basis. [48 FR 54025, Nov. 30, 1983]
Rural Health Clinic Services