Capitation Payment Rates Determination.

(a)

The Department shall determine capitation payment rates annually by actuarial methods.

(b)

The rates shall not exceed actuarially equivalent Medi-Cal fee-for-service costs. These costs shall be determined by viewing the total services at risk and requirements, including administration, provided under this chapter by a PCCM plan as though the same services and requirements, including administration, were reimbursable under Chapter 3 commencing with section 51001.

(c)

The rates shall be effective for one year beginning the first day of July each year.