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 CORe Code 2381

Capitated Payment

The Capitated Payment amount is a monthly amount the W-2 Contractor will receive based on either of the following two options:

1. The Case Count Total (CCT) each month multiplied by the negotiated contracted rate per case. The CCT is the total of all paid and unpaid cases open at least one day during the month, excluding individuals who are in a CMF placement more than 3 consecutive months in a calendar year. DCF will determine the CCT based upon the data entered into CARES and CWW.
2. One twelfth of the maximum of the negotiated capitated amount.