StacksVerified U.S. regulatory reference

42 CFR §447.362

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov
Under a nonrisk contract, Medicaid payments to the contractor may not exceed—
  1. (a)What Medicaid would have paid, on a fee-for-service basis, for the services actually furnished to beneficiaries: plus
  2. (b)The net savings of administrative costs the Medicaid agency achieves by contracting with the plan instead of purchasing the services on a fee-for-service basis.