SECTION 355.8361. Rates and Payment Structures


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  • (a) The department shall develop payment methodologies based on state maximum capitation amounts or negotiated rates to determine payments for providing STAR Program services.

    (b) In a service arrangement in which the state contracts with a hospital to provide services for STAR Program members, the department may negotiate with hospitals to establish payment rates for inpatient and outpatient services.

Source Note: The provisions of this §355.8361 adopted to be effective December 18, 1996, 21 TexReg 11822; transferred effective September 1, 1997, as published in the Texas Register December 11, 1998, 23 TexReg 12660