(1) To qualify for participation in the pilot program, a direct provider shall: (a) Provide primary care to an enrollee; (b) Coordinate care across all care settings; (c) Oversee transitions in care between settings; and (d) Minimize the risk of gaps in care. (2) The participating providers shall receive a monthly payment of a per-member, per-month fee for each enrollee for any month or portion of a month in which he or she is enrolled in the pilot program.
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