42 CFR 422.527 - Agreements with Federally qualified health centers.

Regulations last checked for updates: Nov 22, 2024

Title 42 - Public Health last revised: Nov 19, 2024

View all text of Subpart K [§ 422.500 - § 422.530]

§ 422.527 - Agreements with Federally qualified health centers.

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 § 422.316(a).

[70 FR 4738, Jan. 28, 2005]

authority: 42 U.S.C. 1302,1306,1395w,and

source: 63 FR 18134, Apr. 14, 1998, unless otherwise noted.

cite as: 42 CFR 422.527