If the agency contracts with a prepaid capitation organization that does not impose the agency's deductibles, coinsurance, co-payments or similar charges on its recipient members, the plan must provide that the agency calculates its payments to the organization as if those cost sharing charges were collected.
[48 FR 5736, Jan. 8, 1983, as amended at 67 FR 41116, June 14, 2002]
Title 42 published on 2012-10-01
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