Common use of Additional Benefits and Premiums Clause in Contracts

Additional Benefits and Premiums. The SNP MCO will notify the STATE of proposed changes with the understanding that the STATE will not share this information. The process of notification is as follows: (1) Prior to the submission of the initial annual Medicare Advantage bids to CMS, the MCO/SNP will consult with the STATE about any changes in proposed Plan Benefit Packages (PBPs), including proposed changes in current benefits or additional premiums the SNP is expecting to request to have approved through the bid; and (2) Notify the STATE of the status of final changes to benefits or premium levels, on or before September 1st of each Contract Year.

Appears in 10 contracts

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

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Additional Benefits and Premiums. The SNP MCO will notify the STATE of proposed changes with the understanding that the STATE will not share this informationinformation unless required to do so by law. The process of notification is as follows: (1) Prior to the submission of the initial annual Medicare Advantage bids to CMS, the MCO/SNP will consult with the STATE about any changes in proposed Plan Benefit Packages (PBPs), including proposed changes in current benefits or additional premiums the SNP is expecting to request to have approved through the bid; and (2) Notify the STATE of the status of final changes to benefits or premium levels, on or before September 1st of each Contract Year.

Appears in 4 contracts

Samples: Special Needs Basiccare Program Services Contract, Special Needs Basiccare Program Services Contract, Contract for Special Needs Basiccare Program Services

Additional Benefits and Premiums. The MCO/SNP MCO will notify the STATE of proposed changes with the understanding that the STATE will not share this information. The process of notification is as follows: (1) Prior to the submission of the initial annual Medicare Advantage bids to CMS, the MCO/SNP will consult with the STATE about any changes in proposed Plan Benefit Packages (PBPs), including proposed changes in current benefits or additional premiums the SNP is expecting to request to have approved through the bid; and (2) Notify the STATE of the status of final changes to benefits or premium levels, on or before September 1st of each Contract Year.

Appears in 2 contracts

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

Additional Benefits and Premiums. The SNP MCO will notify the STATE of proposed changes with the understanding that the STATE will not share this informationinformation unless required to do so by law. The process of notification is as follows:follows:‌‌ (1) Prior to the submission of the initial annual Medicare Advantage bids to CMS, the MCO/SNP will consult with the STATE about any changes in proposed Plan Benefit Packages (PBPs), including proposed changes in current benefits or additional premiums the SNP is expecting to request to have approved through the bid; and (2) Notify the STATE of the status of final changes to benefits or premium levels, on or before September 1st of each Contract Year.

Appears in 1 contract

Samples: Contract for Special Needs Basiccare Program Services

Additional Benefits and Premiums. The SNP MCO will notify the STATE of proposed changes with the understanding that the STATE will not share this information. The process of notification is as follows: (1) : Prior to the submission of the initial annual Medicare Advantage bids to CMS, the MCO/SNP will consult with the STATE about any changes in proposed Plan Benefit Packages (PBPs), including proposed changes in current benefits or additional premiums the SNP is expecting to request to have approved through the bid; and (2) and Notify the STATE of the status of final changes to benefits or premium levels, on or before September 1st of each Contract Year.

Appears in 1 contract

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

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Additional Benefits and Premiums. The MCO/SNP MCO will notify the STATE of proposed changes with the understanding that the STATE will not share this informationinformation unless required to do so by law. The process of notification is as follows: (1A) Prior to the submission of the initial annual Medicare Advantage bids to CMS, the MCO/SNP will consult with the STATE about any changes in proposed Plan Benefit Packages (PBPs), including proposed changes in current benefits or additional premiums the SNP is expecting to request to have approved through the bid; and (2B) Notify the STATE of the status of final changes to benefits or premium levels, on or before September 1st of each Contract Year.

Appears in 1 contract

Samples: Contract for Minnesota Special Needs Basic Care Program Services

Additional Benefits and Premiums. The MCO/SNP MCO will notify the STATE of proposed changes with the understanding that the STATE will not share this informationinformation unless required to do so by law. The process of notification is as follows: (1A) Prior to the submission of the initial annual Medicare Advantage bids to CMS, the MCO/SNP will consult with the STATE about any changes in proposed Plan Benefit Packages (PBPs), including proposed changes in current benefits or additional premiums the SNP is expecting to request to have approved through the bid; andand‌ (2B) Notify the STATE of the status of final changes to benefits or premium levels, on or before September 1st of each Contract Year.

Appears in 1 contract

Samples: Contract for Minnesota Special Needs Basiccare Program Services

Additional Benefits and Premiums. The MCO/SNP MCO will notify the STATE of proposed changes with the understanding that the STATE will not share this information. The process of notification is as follows: (1) Prior to the submission of the initial annual Medicare Advantage bids to CMS, the MCO/SNP will consult with the STATE about any changes in proposed Plan Benefit Packages (PBPs), including proposed changes in current benefits or additional premiums the SNP is expecting to request to have approved through the bid; and (2) Notify the STATE of the status of final changes to benefits or premium levels, on or before September 1st of each Contract Year.

Appears in 1 contract

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

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