{"data":{"id":"us/42-cfr-447.362","jurisdiction":"us","citation":"42 CFR 447.362","heading":"Upper limits of payment: Nonrisk contract.","body":"Under a nonrisk contract, Medicaid payments to the contractor may not exceed—\n(a) What Medicaid would have paid, on a fee-for-service basis, for the services actually furnished to beneficiaries: plus\n(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.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS","PART 447—PAYMENTS FOR SERVICES","Subpart F—Payment Methods for Other Institutional and Noninstitutional Services"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"fcbe2c165c82135b2b0134ef832c2ba954bbcd83622410288aa7620b82e8bcb1","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-447.342","next":"us/42-cfr-447.371"},"notice":"GroundRules: Original legal text. Not legal advice."}