42 CFR 438.812 - Costs under risk and nonrisk contracts.

Regulations last checked for updates: May 02, 2025

Title 42 - Public Health last revised: Apr 15, 2025

§ 438.812 - Costs under risk and nonrisk contracts.

(a) Under a risk contract, the total amount the State agency pays for carrying out the contract provisions is a medical assistance cost.

(b) Under a nonrisk contract—

(1) The amount the State agency pays for the furnishing of medical services to eligible beneficiaries is a medical assistance cost; and

(2) The amount the State agency pays for the contractor's performance of other functions is an administrative cost.

authority: 42 U.S.C. 1302.

source: 67 FR 41095, June 14, 2002, unless otherwise noted.

cite as: 42 CFR 438.812