36-2941. Establishment of capitation rates
A. The administration shall establish capitation rates based on an actuarial study for the department. The capitation rate shall be based on the estimated cost of providing services pursuant to this article to members who have been determined eligible pursuant to section 36-2933.
B. At least thirty days before finalizing the capitation rates, the administration shall send written notice of the proposed capitation rates to the department.
C. Capitation rate adjustments shall be limited to utilization of existing services and inflation unless policy changes, including creation or expansion of programs, have been approved by the legislature or are specifically required by federal law or court mandate.
Section: Previous 36-2934.02 36-2935 36-2936 36-2937 36-2938 36-2939 36-2940 36-2941 36-2942 36-2943 36-2944 36-2944.01 36-2945 36-2946 36-2947 NextLast modified: October 13, 2016