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Capitation Rates

Provider Type

  • Participating Physician Groups (PPG)

The capitation rate is a percentage of the Centers for Medicare & Medicaid Services (CMS) premium negotiated between Health Net and the provider. Refer to the Provider Participation Agreement (PPA) for reimbursement information. The rate for the current calendar year applies to individual members and members of each employer group.

Last Updated: 07/01/2024