The contract between the MA organization and CMS must specify that—
- (a) The MA organization must pay a Federally qualified health center (FQHC) a similar amount to what it pays other providers for similar services.
- (b) Under such a contract, the FQHC must accept this payment as payment in full, except for allowable cost sharing which it may collect.
- (c) Financial incentives, such as risk pool payments or bonuses, and financial withholdings are not considered in determining the payments made by CMS under § 422.316(a).
[70 FR 4738, Jan. 28, 2005]