Bariatric Supplemental Payment. See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the methodology for establishing the Bariatric Supplemental Payment for the STAR Program. xMedicaid STAR+PLUS HMO Program Capitation: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Capitation Rate-setting methodology and the Capitation Payment requirements for the STAR+PLUS Program. The following Rate Cells and Capitation Rates will apply to Rate Period 5: ***
Bariatric Supplemental Payment. See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the methodology for establishing the Bariatric Supplemental Payment for the STAR Program. Contractual Document (CD) Responsible Office: HHSC Office of General Counsel (OGC) Subject: HHSC Managed Care Contract HHSC Contract No. 529-06-0280-00002-R þ Medicaid STAR+PLUS HMO Program Capitation: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Capitation Rate-setting methodology and the Capitation Payment requirements for the STAR+PLUS Program. The following Rate Cells and Capitation Rates will apply to Rate Period 5: ******REDACTED****** Bariatric Supplemental Payment: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the methodology for establishing the Bariatric Supplemental Payment for the STAR+PLUS Program. þ CHIP HMO PROGRAM Capitation: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Capitation Rate-setting methodology and the Capitation Payment requirements for the CHIP Program. The following Rate Cells and Capitation Rates will apply to Rate Period 5: ******REDACTED****** Delivery Supplemental Payment: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the methodology for establishing the Delivery Supplemental Payment for the CHIP Program. The CHIP Delivery Supplemental Payment is ******REDACTED****** for all Service Areas. þ CHIP Perinatal Program Capitation: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Capitation Rate-setting methodology and the Capitation Payment requirements for the CHIP Perinatal Program. ******REDACTED****** Delivery Supplemental Payment: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the methodology for establishing the Delivery Supplemental Payment for the CHIP Perinatal Program. The CHIP Perinatal Delivery Supplemental Payment is ******REDACTED****** for Perinates between 186% and 200% of the Federal Poverty Level for all Service Areas. Contractual Document (CD) Responsible Office: HHSC Office of General Counsel (OGC) Subject: HHSC Managed Care Contract HHSC Contract No. 529-06-0280-00002-R Part 9: Contract Attachments: Modifications to Part 9 o...
Bariatric Supplemental Payment. See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the methodology for establishing the Bariatric Supplemental Payment for the STAR Program. Contractual Document (CD) Responsible Office: HHSC Office of General Counsel (OGC) HHSC Contract No. 529-06-0280-00002-S Subject: HHSC Managed Care Contract þ Medicaid STAR+PLUS HMO Program Capitation: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Capitation Rate-setting methodology and the Capitation Payment requirements for the STAR+PLUS Program. The following Rate Cells and Capitation Rates will apply to Rate Period 5: STAR+PLUS Service Area: BEXAR Rate Period 5 Rate Period 5 Rate Cell 9/1/10-1/31/11 2/1/11-8/31/11 1. Medicaid Only Standard Rate $ 530.20 $ 528.09 2. Medicaid Only 1915(C) Nursing Facility Waiver Rate $ 2,967.95 $ 2,960.76 3. Dual Eligible Standard Rate $ 270.12 $ 270.12 4. Dual Eligible 1915(C) Nursing Facility Waiver Rate $ 1,672.83 $ 1,672.83 5. Nursing Facility – Medicaid Only $ 530.20 $ 528.09 6. Nursing Facility – Dual Eligible $ 270.12 $ 270.12 7. Bariatric Supplemental Payment $ 23,000.00 $ 23,000.00 STAR+PLUS Service Area: XXXXXX (Xxxxxx Co. & Xxxxxx Contiguous) Rate Period 5 Rate Period 5 Rate Cell 9/1/10-1/31/11 2/1/11-8/31/11 1. Medicaid Only Standard Rate $ 633.41 $ 630.97 2. Medicaid Only 1915(C) Nursing Facility Waiver Rate $ 3,382.71 $ 3,371.40 3. Dual Eligible Standard Rate $ 227.94 $ 227.94 4. Dual Eligible 1915(C) Nursing Facility Waiver Rate $ 1,488.08 $ 1,488.08 5. Nursing Facility – Medicaid Only $ 633.41 $ 630.97 6. Nursing Facility – Dual Eligible $ 227.94 $ 227.94 7. Bariatric Supplemental Payment $ 23,000.00 $ 23,000.00 Contractual Document (CD) Responsible Office: HHSC Office of General Counsel (OGC) HHSC Contract No. 529-06-0280-00002-S Subject: HHSC Managed Care Contract STAR+PLUS Service Area: XXXXXX Rate Period 5 Rate Period 5 Rate Cell 9/1/10-1/31/11 2/1/11-8/31/11 1. Medicaid Only Standard Rate $ 631.23 $ 628.28 2. Medicaid Only 1915(C) Nursing Facility Waiver Rate $ 3,825.77 $ 3,814.44 3. Dual Eligible Standard Rate $ 175.39 $ 175.39 4. Dual Eligible 1915(C) Nursing Facility Waiver Rate $ 1,803.90 $ 1,803.90 5. Nursing Facility – Medicaid Only $ 631.23 $ 628.28 6. Nursing Facility – Dual Eligible $ 175.39 $ 175.39 7. Bariatric Supplemental Payment $ 23,000.00 $ 23,000.00 Bariatric Supplemental Payment: See Attachment A, “HHSC Uniform Managed ...
