For program contractors pursuant to section 36-2940:
- 1. The administration shall make at least monthly capitation payments to the department consisting of a portion of the capitation rate provided by the federal government. Prior to making the capitation payment, the administration may retain a specific percentage of the federal portion of the capitation rate for third party payments collected pursuant to this section.
- 2. The administration shall make at least monthly payments to the department with that portion of federal monies available for administrative costs.
- 3. Any portion of the capitation rate pursuant to paragraph 1 of this subsection or administrative costs pursuant to paragraph 2 of this section not paid for by federal monies shall be paid by the department.
- 4. Payments made pursuant to paragraph 1 of this subsection shall begin after a member is enrolled in the system.
- 5. The department is responsible for any costs of providing services to members that exceed the capitation rate.
- 6. The director shall require contract terms necessary to ensure adequate performance by the department of the provisions of each contract executed pursuant to this section.