California
§ 56320. Capitation Payment.
1 provisions · California regulatory authority
Provisions
Citable source units
22 CCR 56320Reimbursement PaymentValue Based Arrangements
Capitation Payment.
Provides for monthly capitation payments to PCCM plans based on eligible member counts, assigns risk for covered services, and excludes recovery of prior contractual losses.
Group
Payment Program Integrity
Category
Reimbursement Payment
Domain
Billing Reimbursement
Topics
Capitation payment, Eligible member counts, At Risk healthcare services