Appendix P, MCO-Administered ACO Contract Specifications Sample Clauses

Appendix P, MCO-Administered ACO Contract Specifications is hereby deleted in its entirety and replaced with a new Appendix P attached hereto.
Sample 1
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Appendix P, MCO-Administered ACO Contract Specifications is hereby deleted in its entirety and replaced with a new Appendix P attached hereto. Listed below are the Per Member Per Month (PMPM) Base Capitation Rates for Contract Year 4 (January 1, 2021, through December 31, 2021) (also referred to as Rate Year 2021 or RY21), subject to state appropriation and all necessary federal approvals. Base Capitation Rates do not include EOHHS adjustments described in Sections 4.2.C and 4.2.E. of the Contract. In addition to the Base Capitation Rates tables below, additional tables include the add-ons for the Contract Year for CBHI Services as described in Section 4.5.D, for ABA Services as described in Section 4.5.E, and for SUD Risk Sharing Services as described in Section 4.5.I. The add-ons for CBHI Services, ABA Services and SUD Risk Sharing Services are the same for all Regions and will be added to the Risk Adjusted Capitation Rates as defined in Section 4.2.E. Effective January 1, 2021 – December 31, 2021 (RY 21) REGION NON-HIGH COST DRUG / NON-HCV MEDICAL COMPONENT (per member per month) HCV COMPONENT (per member per month) NON-HCV HIGH COST DRUG COMPONENT (per member per month) ADMINISTRATIVE COMPONENT (per member per month) TOTAL BASE CAPITATION RATE (per member per month) Effective January 1, 2021 – December 31, 2021 (RY 21) REGION NON-HIGH COST DRUG / NON-HCV MEDICAL COMPONENT (per member per month) HCV COMPONENT (per member per month) NON-HCV HIGH COST DRUG COMPONENT (per member per month) ADMINISTRATIVE COMPONENT (per member per month) TOTAL BASE CAPITATION RATE (per member per month) Effective January 1, 2021 – December 31, 2021 (RY 21) REGION NON-HIGH COST DRUG / NON-HCV MEDICAL COMPONENT (per member per month) HCV COMPONENT (per member per month) NON-HCV HIGH COST DRUG COMPONENT (per member per month) ADMINISTRATIVE COMPONENT (per member per month) TOTAL BASE CAPITATION RATE (per member per month) Effective January 1, 2021 – December 31, 2021 (RY 21) REGION NON-HIGH COST DRUG / NON-HCV MEDICAL COMPONENT (per member per month) HCV COMPONENT (per member per month) NON-HCV HIGH COST DRUG COMPONENT (per member per month) ADMINISTRATIVE COMPONENT (per member per month) TOTAL BASE CAPITATION RATE (per member per month) Effective January 1, 2021 – December 31, 2021 (RY 21) REGION NON-HIGH COST DRUG / NON-HCV MEDICAL COMPONENT (per member per month) HCV COMPONENT (per member per month) NON-HCV HIGH COST DRUG COMPONENT (per member per month) ADMINISTRATIVE COMPONENT (per member per month) TOTAL BASE CAPITATION RATE (...
Sample 1

Related to Appendix P, MCO-Administered ACO Contract Specifications

  • Attachment A, Scope of Services The scope of services is amended as follows:

  • Technical Specifications The Technical Specifications furnished on the CD are intended to establish the standards for quality, performance and technical requirements for all labor, workmanship, material, methods and equipment necessary to complete the Work. When specifications and drawings are provided or referenced by the County, these are to be considered part of the Scope of Work, and to be specifically documented in the Detailed Scope of Work. For convenience, the County supplied specifications, if any, and the Technical Specifications furnished on the CD.

  • MSAA Indicator Technical Specification Document This Agreement shall be interpreted with reference to the MSAA Indicator Technical Specifications document.

  • Quality Specifications SANMINA-SCI shall comply with the quality specifications set forth in its Quality Manual, incorporated by reference herein, a copy of which is available from SANMINA-SCI upon request.

  • ODUF Packing Specifications 6.3.1 A pack will contain a minimum of one message record or a maximum of 99,999 message records plus a pack header record and a pack trailer record. One transmission can contain a maximum of 99 packs and a minimum of one pack.

  • General specifications For the purpose of this Regulation, the vehicle shall fulfil the following requirements:

  • DISTRIBUTION OF CONTRACTOR PRICE LIST AND CONTRACT APPENDICES Contractor shall provide Authorized Users with electronic copies of the Contract, including price lists and Appendices, upon request. Contract Updates will be handled as provided in Appendix C – Contract Modification Procedures.

  • Attachment  C_ CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the life of the Contract:

  • Development Schedule The Project shall substantially comply with the specific timetables and triggers for action set forth in Article 5 of this Agreement. The parties acknowledge that, as provided in G.S. 160A-400.25(b), the failure to meet a commencement or completion date shall not, in and of itself, constitute a material breach of this Agreement pursuant to G.S. 160A-400.27 but must be judged based upon the totality of the circumstances.

  • Detailed Description of Services / Statement of Work Describe fully the services that Contractor will provide, or add and attach Exhibit B to this Agreement.

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