Arrangement Years Sample Clauses

Arrangement Years. A. Arrangement Years are equivalent to calendar years. Each Arrangement Year serves as an accumulation period for incurring costs for Covered Services. B. An Arrangement Year includes all portions of a calendar year that the PH-MCO operated a HealthChoices program in this zone under this Agreement or another Agreement. If there is more than one Agreement in the calendar year, the terms for the Department’s payments included in the more recent Agreement apply. C. If the PH-MCO has purchased the assets or liabilities of a PH-MCO that previously contracted with the Department to operate a HealthChoices program in the same zone (“Previous PH-MCO”); or if the Department transferred the Recipients enrolled in the Previous PH-MCO, who did not make a different choice, to the current PH-MCO; then the Department will allow the PH-MCO to include claims paid by the Previous PH-MCO with dates of service in the current Arrangement Year, provided the Previous PH-MCO relinquishes any claims to revenue under the Home Nursing Risk Sharing appendix in their Agreement, for dates of service that overlap with the current Arrangement Year.